Hada Cosmetic Medicine Llc in Champaign - Dermatology
Hada Cosmetic Medicine Llc - NPI 1972654515
Hada Cosmetic Medicine Llc is a Dermatology in Champaign, Illinois. Hada Cosmetic Medicine Llc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Hada Cosmetic Medicine Llc is 1972654515. The last update date is 2020-08-22.
Hada Cosmetic Medicine Llc's current location address is 1 E Main St, Champaign, Illinois. You can contact this provider via phone number 2176934400 and fax number 2173565849. The mailing address for Hada Cosmetic Medicine Llc is 1 E Main St, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hada Cosmetic Medicine Llc |
|---|---|
| Address | 1 E Main St, Champaign, Illinois |
| Phone Number | 2176934400 |
| Fax Number | 2173565849 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Trupin R Suzanne |
| Credentials | M.D |
| Telephone Number | 2176934400 |
NPI Number Detail
| NPI Number | 1972654515 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1 E Main St |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618203654 |
| Phone Number | 2176934400 |
| Fax Number | 2173565849 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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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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What is the unique identifier code issued to Hada Cosmetic Medicine Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Hada Cosmetic Medicine Llc has been assigned the NPI (National Provider Identifier) 1972654515. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Hada Cosmetic Medicine Llc is physically located?
The Hada Cosmetic Medicine Llc is physically situated at the following address: 1 E Main St, Champaign, IL, 618203654.
What is Hada Cosmetic Medicine Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Hada Cosmetic Medicine Llc's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972654515 to Hada Cosmetic Medicine Llc?
The Hada Cosmetic Medicine Llc received its 1972654515 assignment from the Centers for Medicare & Medicaid Services on 2007-01-12.
As of what date were the details related to Hada Cosmetic Medicine Llc most recently updated or revised?
The information pertaining to Hada Cosmetic Medicine Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.