Raja C Maddipoti in Salt Lake City - Specialist
Raja C Maddipoti - NPI 1215019328
Raja C Maddipoti is a Specialist in Salt Lake City, Utah. Raja C Maddipoti practices all healthcare services and medical treatments related to Specialist. The NPI Number for Raja C Maddipoti is 1215019328. The last update date is 2022-04-27.
Raja C Maddipoti's current location address is Po Box 26067, Salt Lake City, Utah. You can contact this provider via phone number 2396240400 and fax number 2396240464. The mailing address for Raja C Maddipoti is Po Box 26067, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raja C Maddipoti |
|---|---|
| Address | Po Box 26067, Salt Lake City, Utah |
| Phone Number | 2396240400 |
| Fax Number | 2396240464 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215019328 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2022-04-27 |
Provider Mailing Address Detail
| Address | Po Box 26067 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841260067 |
| Phone Number | 2396240400 |
| Fax Number | 2396240464 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 036-082727 |
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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 |
|---|---|---|---|
| 36082727 | IL | -- | |
| 60067999 | IL | RAILROAD |
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What is the unique provider identifier assigned to Raja C Maddipoti?
The Raja C Maddipoti has been issued the NPI (National Provider Identifier) 1215019328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Raja C Maddipoti?
The Raja C Maddipoti is situated at Po Box 26067, in the city of Salt Lake City, state of UT, with the zip code 841260067.
What is the Raja C Maddipoti's specialty and taxonomy code?
The Raja C Maddipoti's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date was the 1215019328 assigned to Raja C Maddipoti?
The Raja C Maddipoti was issued its 1215019328 on 2006-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Raja C Maddipoti most recently updated or revised?
The information pertaining to Raja C Maddipoti, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-27.