Nisha Joseph Mattathil in Fremont - Pharmacist
Nisha Joseph Mattathil - NPI 1316034697
Nisha Joseph Mattathil is a Pharmacist in Fremont, California. Nisha Joseph Mattathil practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Nisha Joseph Mattathil is 1316034697. The last update date is 2007-07-08.
Nisha Joseph Mattathil's current location address is 39400 Paseo Padre Pkwy, Fremont, California. You can contact this provider via phone number 5102487577. The mailing address for Nisha Joseph Mattathil is 39400 Paseo Padre Pkwy, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nisha Joseph Mattathil |
|---|---|
| Address | 39400 Paseo Padre Pkwy, Fremont, California |
| Phone Number | 5102487577 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARM D |
NPI Number Detail
| NPI Number | 1316034697 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 39400 Paseo Padre Pkwy |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945382310 |
| Phone Number | 5102487577 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 54758 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique provider identifier assigned to Nisha Joseph Mattathil?
The Nisha Joseph Mattathil has been issued the NPI (National Provider Identifier) 1316034697 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Nisha Joseph Mattathil is physically located?
The Nisha Joseph Mattathil is situated at the following address: 39400 Paseo Padre Pkwy, Fremont, CA 945382310.
What is the Nisha Joseph Mattathil's specialty and taxonomy code?
The Nisha Joseph Mattathil's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316034697 to Nisha Joseph Mattathil?
The Centers for Medicare & Medicaid Services originally issued the 1316034697 to Nisha Joseph Mattathil on 2006-10-06.
When was the information related to Nisha Joseph Mattathil most recently updated or refreshed?
The details pertaining to the Nisha Joseph Mattathil, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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