Kannan Komandur in Antioch - General Practice
Kannan Komandur - NPI 1982718136
Kannan Komandur is a General Practice in Antioch, California. Kannan Komandur practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kannan Komandur is 1982718136. The last update date is 2009-01-16.
Kannan Komandur's current location address is 3700 Sunset Ln, Antioch, California. You can contact this provider via phone number 9257782400 and fax number 9257782427. The mailing address for Kannan Komandur is 3700 Sunset Ln, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kannan Komandur |
|---|---|
| Address | 3700 Sunset Ln, Antioch, California |
| Phone Number | 9257782400 |
| Fax Number | 9257782427 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1982718136 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2009-01-16 |
Provider Mailing Address Detail
| Address | 3700 Sunset Ln |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945096199 |
| Phone Number | 9257782400 |
| Fax Number | 9257782427 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 50627 |
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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 provider identifier assigned to Kannan Komandur?
The Kannan Komandur has been issued the NPI (National Provider Identifier) 1982718136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kannan Komandur is geographically located?
The Kannan Komandur is physically situated at the following location: 3700 Sunset Ln, Antioch, CA, 945096199.
What is Kannan Komandur's area of expertise and its corresponding taxonomy classification?
The Kannan Komandur's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did Kannan Komandur receive its 1982718136 assignment?
The Kannan Komandur was assigned its 1982718136 on 2006-08-17, which is the date when this unique identifier was issued to the organization.
As of what date were the Kannan Komandur's details last updated?
The information pertaining to the Kannan Komandur, including its address, specialty, and other details, was most recently updated on 2009-01-16.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA