Athena Nga Phan is a Dermatology in Montgomery, Alabama. Athena Nga Phan practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Athena Nga Phan is 1386793925. The last update date is 2022-12-05.
Athena Nga Phan's current location address is 300 Taylor Rd, Montgomery, Alabama. You can contact this provider via phone number 3342731122. The mailing address for Athena Nga Phan is 300 Taylor Rd, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Athena Nga Phan |
|---|---|
| Address | 300 Taylor Rd, Montgomery, Alabama |
| Phone Number | 3342731122 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386793925 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2022-12-05 |
Provider Mailing Address Detail
| Address | 300 Taylor Rd |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361173521 |
| Phone Number | 3342731122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 20145 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51033969 | AL | BLUE CROSS |
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What is the unique 10-digit identification code issued to Athena Nga Phan by the Centers for Medicare & Medicaid Services?
The Athena Nga Phan has been assigned the NPI (National Provider Identifier) 1386793925 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Athena Nga Phan is physically located?
The Athena Nga Phan is situated at the following address: 300 Taylor Rd, Montgomery, AL 361173521.
What is Athena Nga Phan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Athena Nga Phan's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did Athena Nga Phan receive its 1386793925 assignment from the Centers for Medicare & Medicaid Services?
The Athena Nga Phan was assigned its 1386793925 on 2007-01-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Athena Nga Phan last refreshed?
The information related to the Athena Nga Phan, including its address, specialty, and other relevant details, was last updated on 2022-12-05.
NPI Number: 1720081763
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