Poornima Jayaprakash in Racine - General Practice
Poornima Jayaprakash - NPI 1417014572
Poornima Jayaprakash is a General Practice in Racine, Wisconsin. Poornima Jayaprakash practices all healthcare services and medical treatments related to General Practice. The NPI Number for Poornima Jayaprakash is 1417014572. The last update date is 2007-07-08.
Poornima Jayaprakash's current location address is 6218 Washington Ave, Racine, Wisconsin. You can contact this provider via phone number 2628861300 and fax number 2628861837. The mailing address for Poornima Jayaprakash is 6218 Washington Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Poornima Jayaprakash |
|---|---|
| Address | 6218 Washington Ave, Racine, Wisconsin |
| Phone Number | 2628861300 |
| Fax Number | 2628861837 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417014572 |
|---|---|
| Provider Enumeration Date | 2007-01-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6218 Washington Ave |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534063916 |
| Phone Number | 2628861300 |
| Fax Number | 2628861837 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4048 |
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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 identifier code assigned to Poornima Jayaprakash by the Centers for Medicare & Medicaid Services?
The Poornima Jayaprakash has been issued the NPI (National Provider Identifier) 1417014572 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Poornima Jayaprakash is located?
The Poornima Jayaprakash is situated at the following address: 6218 Washington Ave, Racine, WI, 534063916.
What is Poornima Jayaprakash's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Poornima Jayaprakash is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date was the 1417014572 assigned to Poornima Jayaprakash?
The Poornima Jayaprakash was issued its 1417014572 on 2007-01-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Poornima Jayaprakash's details last updated?
The information pertaining to the Poornima Jayaprakash, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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