Ilangovan Govindarajan in Kingman - Specialist

Ilangovan Govindarajan - NPI 1295755759

Ilangovan Govindarajan is a Specialist in Kingman, Arizona. Ilangovan Govindarajan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ilangovan Govindarajan is 1295755759. The last update date is 2011-03-21.

Ilangovan Govindarajan's current location address is 975 Sycamore Ave, Kingman, Arizona. You can contact this provider via phone number 9286921900 and fax number 9286927334. The mailing address for Ilangovan Govindarajan is 975 Sycamore Ave, Kingman, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Ilangovan Govindarajan
Address 975 Sycamore Ave, Kingman, Arizona
Phone Number 9286921900
Fax Number 9286927334
Sole Proprietor Y
Credentials M.D., CMD

NPI Number Detail

NPI Number 1295755759
Provider Enumeration Date 2006-07-20
Last Updated Date 2011-03-21

Provider Mailing Address Detail

Address 975 Sycamore Ave
City Kingman
State Arizona (AZ)
Post Code 864093548
Phone Number 9286921900
Fax Number 9286927334

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25797
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
405036 AZ --

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FAQs about Ilangovan Govindarajan

What is the unique provider identifier assigned to Ilangovan Govindarajan?

The Ilangovan Govindarajan has been issued the NPI (National Provider Identifier) 1295755759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Ilangovan Govindarajan is physically located?

The Ilangovan Govindarajan is physically situated at the following address: 975 Sycamore Ave, Kingman, AZ, 864093548.

What is Ilangovan Govindarajan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ilangovan Govindarajan is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1295755759 to Ilangovan Govindarajan?

The Ilangovan Govindarajan received its 1295755759 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.

As of what date were the details pertaining to Ilangovan Govindarajan last refreshed?

The information related to the Ilangovan Govindarajan, including its address, specialty, and other relevant details, was last updated on 2011-03-21.

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