Juan M Fukuda is a Specialist in Lafayette, Louisiana. Juan M Fukuda practices all healthcare services and medical treatments related to Specialist. The NPI Number for Juan M Fukuda is 1154314904. The last update date is 2011-02-04.
Juan M Fukuda's current location address is 4600 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can contact this provider via phone number 3375219027 and fax number 3375219164. The mailing address for Juan M Fukuda is 4600 Ambassador Caffery Pkwy, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan M Fukuda |
|---|---|
| Address | 4600 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Phone Number | 3375219027 |
| Fax Number | 3375219164 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154314904 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2011-02-04 |
Provider Mailing Address Detail
| Address | 4600 Ambassador Caffery Pkwy |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705086902 |
| Phone Number | 3375219027 |
| Fax Number | 3375219164 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 14374R |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1113166 | LA | -- |
Post Comment/ Review Below
What is the Juan M Fukuda's 1154314904?
The Juan M Fukuda's NPI (National Provider Identifier) Number is 1154314904. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Juan M Fukuda located?
The Juan M Fukuda is located at 4600 Ambassador Caffery Pkwy, Lafayette, LA 705086902.
What is Juan M Fukuda's specialized field of practice, and what is the corresponding taxonomy classification code?
The Juan M Fukuda's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did the Juan M Fukuda receive its 1154314904?
The Juan M Fukuda was issued its 1154314904 on 2005-08-26, which is the date when the organization was assigned this unique identifier.
When was the information regarding Juan M Fukuda, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Juan M Fukuda, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-02-04.