Suresh Chavakula in Fort Myers - Specialist
Suresh Chavakula - NPI 1598719551
Suresh Chavakula is a Specialist in Fort Myers, Florida. Suresh Chavakula practices all healthcare services and medical treatments related to Specialist. The NPI Number for Suresh Chavakula is 1598719551. The last update date is 2019-07-02.
Suresh Chavakula's current location address is 5050 Mason Corbin Ct, Fort Myers, Florida. You can contact this provider via phone number 2394822280 and fax number 2394822281. The mailing address for Suresh Chavakula is 5050 Mason Corbin Ct, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suresh Chavakula |
|---|---|
| Address | 5050 Mason Corbin Ct, Fort Myers, Florida |
| Phone Number | 2394822280 |
| Fax Number | 2394822281 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1598719551 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2019-07-02 |
Provider Mailing Address Detail
| Address | 5050 Mason Corbin Ct |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339074541 |
| Phone Number | 2394822280 |
| Fax Number | 2394822281 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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 |
|---|---|---|---|
| 257130700 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Suresh Chavakula by the Centers for Medicare & Medicaid Services?
The Suresh Chavakula has been assigned the NPI (National Provider Identifier) 1598719551. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Suresh Chavakula is geographically located?
The Suresh Chavakula is physically situated at the following location: 5050 Mason Corbin Ct, Fort Myers, FL, 339074541.
What is the Suresh Chavakula's area of specialization and corresponding taxonomy classification?
The Suresh Chavakula's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1598719551 to Suresh Chavakula?
The Centers for Medicare & Medicaid Services assigned the 1598719551 to Suresh Chavakula on 2006-05-22.
As of what date were the details related to Suresh Chavakula most recently updated or revised?
The information pertaining to Suresh Chavakula, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-02.
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