Andreas Tjandra Subadya in Arcadia - Specialist

Andreas Tjandra Subadya - NPI 1528148350

Andreas Tjandra Subadya is a Specialist in Arcadia, California. Andreas Tjandra Subadya practices all healthcare services and medical treatments related to Specialist. The NPI Number for Andreas Tjandra Subadya is 1528148350. The last update date is 2012-11-05.

Andreas Tjandra Subadya's current location address is 623 W Duarte Rd, Arcadia, California. You can contact this provider via phone number 6264464626 and fax number 6264464656. The mailing address for Andreas Tjandra Subadya is 623 W Duarte Rd, Arcadia, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Andreas Tjandra Subadya
Address 623 W Duarte Rd, Arcadia, California
Phone Number 6264464626
Fax Number 6264464656
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1528148350
Provider Enumeration Date 2006-10-16
Last Updated Date 2012-11-05

Provider Mailing Address Detail

Address 623 W Duarte Rd
City Arcadia
State California (CA)
Post Code 910077330
Phone Number 6264464626
Fax Number 6264464656

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G063710
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.

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FAQs about Andreas Tjandra Subadya

What is the Andreas Tjandra Subadya's 1528148350?

The Andreas Tjandra Subadya's NPI (National Provider Identifier) Number is 1528148350. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Andreas Tjandra Subadya?

The Andreas Tjandra Subadya is physically situated at 623 W Duarte Rd, in the city of Arcadia, state of CA, with the postal code 910077330.

What is the area of specialization for Andreas Tjandra Subadya, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Andreas Tjandra Subadya is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did Andreas Tjandra Subadya receive its 1528148350 assignment from the Centers for Medicare & Medicaid Services?

The Andreas Tjandra Subadya was assigned its 1528148350 on 2006-10-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Andreas Tjandra Subadya, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Andreas Tjandra Subadya, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-11-05.

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