Padmaja Pam Polavarapu in Bradenton - Specialist
Padmaja Pam Polavarapu - NPI 1376536862
Padmaja Pam Polavarapu is a Specialist in Bradenton, Florida. Padmaja Pam Polavarapu practices all healthcare services and medical treatments related to Specialist. The NPI Number for Padmaja Pam Polavarapu is 1376536862. The last update date is 2017-03-13.
Padmaja Pam Polavarapu's current location address is 1810 59th St W, Bradenton, Florida. You can contact this provider via phone number 9417921412 and fax number 9417950753. The mailing address for Padmaja Pam Polavarapu is 1810 59th St W, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Padmaja Pam Polavarapu |
|---|---|
| Address | 1810 59th St W, Bradenton, Florida |
| Phone Number | 9417921412 |
| Fax Number | 9417950753 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376536862 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2017-03-13 |
Provider Mailing Address Detail
| Address | 1810 59th St W |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 342094630 |
| Phone Number | 9417921412 |
| Fax Number | 9417950753 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME108341 |
|
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 |
|---|---|---|---|
| 7822100 | WV | MEDICAID | |
| 6048641 | VA | -- |
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What is the unique 10-digit identification code issued to Padmaja Pam Polavarapu by the Centers for Medicare & Medicaid Services?
The Padmaja Pam Polavarapu has been assigned the NPI (National Provider Identifier) 1376536862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Padmaja Pam Polavarapu?
The Padmaja Pam Polavarapu is physically situated at 1810 59Th St W, in the city of Bradenton, state of FL, with the postal code 342094630.
What is the area of specialization for Padmaja Pam Polavarapu, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Padmaja Pam Polavarapu is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date was the 1376536862 assigned to Padmaja Pam Polavarapu?
The Padmaja Pam Polavarapu was issued its 1376536862 on 2005-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Padmaja Pam Polavarapu most recently updated?
The details pertaining to the Padmaja Pam Polavarapu, including its address, specialty, and other relevant information, were last refreshed on 2017-03-13.
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