Shadrach G Gonqueh in Indianapolis - General Practice
Shadrach G Gonqueh - NPI 1275791709
Shadrach G Gonqueh is a General Practice in Indianapolis, Indiana. Shadrach G Gonqueh practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shadrach G Gonqueh is 1275791709. The last update date is 2023-06-13.
Shadrach G Gonqueh's current location address is 1664 E Raymond St, Indianapolis, Indiana. You can contact this provider via phone number 3177813900 and fax number 3177813943. The mailing address for Shadrach G Gonqueh is 1664 E Raymond St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shadrach G Gonqueh |
|---|---|
| Address | 1664 E Raymond St, Indianapolis, Indiana |
| Phone Number | 3177813900 |
| Fax Number | 3177813943 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1275791709 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2023-06-13 |
Provider Mailing Address Detail
| Address | 1664 E Raymond St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462034143 |
| Phone Number | 3177813900 |
| Fax Number | 3177813943 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12011150A |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Shadrach G Gonqueh by the Centers for Medicare & Medicaid Services?
The Shadrach G Gonqueh has been assigned the NPI (National Provider Identifier) 1275791709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shadrach G Gonqueh?
The Shadrach G Gonqueh is situated at 1664 E Raymond St, in the city of Indianapolis, state of IN, with the zip code 462034143.
What is the area of specialization for Shadrach G Gonqueh, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shadrach G Gonqueh is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275791709 to Shadrach G Gonqueh?
The Centers for Medicare & Medicaid Services originally issued the 1275791709 to Shadrach G Gonqueh on 2008-05-30.
When was the information regarding Shadrach G Gonqueh, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shadrach G Gonqueh, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-06-13.
NPI Number: 1902802911
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