John Mathew Poothullil in Lake Jackson - Allergy & Immunology
John Mathew Poothullil - NPI 1134102528
John Mathew Poothullil is a Allergy & Immunology in Lake Jackson, Texas. John Mathew Poothullil practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for John Mathew Poothullil is 1134102528. The last update date is 2007-07-08.
John Mathew Poothullil's current location address is 201 Oak Dr S, Lake Jackson, Texas. You can contact this provider via phone number 9792978006 and fax number 9792975919. The mailing address for John Mathew Poothullil is 201 Oak Dr S, Lake Jackson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Mathew Poothullil |
|---|---|
| Address | 201 Oak Dr S, Lake Jackson, Texas |
| Phone Number | 9792978006 |
| Fax Number | 9792975919 |
| Sole Proprietor | X |
| Credentials | M.D.,F.R.C |
NPI Number Detail
| NPI Number | 1134102528 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 201 Oak Dr S |
|---|---|
| City | Lake Jackson |
| State | Texas (TX) |
| Post Code | 775665676 |
| Phone Number | 9792978006 |
| Fax Number | 9792975919 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | E6880 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02914600-01 | TX | CIGNA | |
| 10020011 | TX | AMERIKIDS | |
| 02914600-14 | TX | CIGNA SELECT | |
| 02914600-13 | TX | CIGNA HMO | |
| 2225592 | TX | BCBS BLUE LINK |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Mathew Poothullil?
The John Mathew Poothullil has been issued the NPI (National Provider Identifier) 1134102528 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the John Mathew Poothullil's physical address?
The John Mathew Poothullil is physically located at 201 Oak Dr S, in the city of Lake Jackson, TX, with the postal code 775665676.
What is John Mathew Poothullil's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Mathew Poothullil's area of specialization is Allergy & Immunology, and the corresponding taxonomy code that categorizes this field of practice is 207K00000X.
On what date did the John Mathew Poothullil receive the assignment of its 1134102528 from the Centers for Medicare & Medicaid Services?
The John Mathew Poothullil was issued its 1134102528 by the Centers for Medicare & Medicaid Services on 2005-11-21.
As of what date were the details related to John Mathew Poothullil most recently updated or revised?
The information pertaining to John Mathew Poothullil, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA