Prisat Pa in Jacksonville - Specialist

Prisat Pa - NPI 1275678799

Prisat Pa is a Specialist in Jacksonville, Florida. Prisat Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Prisat Pa is 1275678799. The last update date is 2020-08-22.

Prisat Pa's current location address is Po Box 24330, Jacksonville, Florida. You can contact this provider via phone number 9048808840 and fax number 9048801994. The mailing address for Prisat Pa is Po Box 24330, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prisat Pa
Address Po Box 24330, Jacksonville, Florida
Phone Number 9048808840
Fax Number 9048801994
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHIATRI
Authorized Official Name Madkaiker P. Satyen
Credentials M.D.
Telephone Number 9048808840

NPI Number Detail

NPI Number 1275678799
Provider Enumeration Date 2007-02-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 24330
City Jacksonville
State Florida (FL)
Post Code 322414330
Phone Number 9048808840
Fax Number 9048801994

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME83139
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
1588629232 FL NPI - MADKAIKER
282634 FL MAGELLAN IP - MADKAIKER
1134234669 FL NPI - SICKINGER
1306867817 FL NPI - FORKER
BCBS FL 6183

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FAQs about Prisat Pa

What is the unique 10-digit identifier code issued to Prisat Pa by the Centers for Medicare & Medicaid Services?

The Prisat Pa has been assigned the NPI (National Provider Identifier) 1275678799 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Prisat Pa's physical address?

The Prisat Pa is physically located at Po Box 24330, in the city of Jacksonville, FL, with the postal code 322414330.

What is the Prisat Pa's specialty and taxonomy code?

The Prisat Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Prisat Pa receive the assignment of its 1275678799 from the Centers for Medicare & Medicaid Services?

The Prisat Pa was issued its 1275678799 by the Centers for Medicare & Medicaid Services on 2007-02-21.

When was the information regarding Prisat Pa most recently updated?

The details pertaining to the Prisat Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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