Meshach Vedanayaga Samuel in Marion - Family Medicine
Meshach Vedanayaga Samuel - NPI 1124092341
Meshach Vedanayaga Samuel is a Family Medicine in Marion, Illinois. Meshach Vedanayaga Samuel practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Meshach Vedanayaga Samuel is 1124092341. The last update date is 2016-12-01.
Meshach Vedanayaga Samuel's current location address is 2401 W Main St, Marion, Illinois. You can contact this provider via phone number 6189975311. The mailing address for Meshach Vedanayaga Samuel is 2401 W Main St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Meshach Vedanayaga Samuel |
|---|---|
| Address | 2401 W Main St, Marion, Illinois |
| Phone Number | 6189975311 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124092341 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | 2401 W Main St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629591188 |
| Phone Number | 6189975311 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-103980 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identifier code issued to Meshach Vedanayaga Samuel by the Centers for Medicare & Medicaid Services?
The Meshach Vedanayaga Samuel has been assigned the NPI (National Provider Identifier) 1124092341. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Meshach Vedanayaga Samuel?
The Meshach Vedanayaga Samuel is physically situated at 2401 W Main St, in the city of Marion, state of IL, with the postal code 629591188.
What is Meshach Vedanayaga Samuel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Meshach Vedanayaga Samuel is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date was the 1124092341 assigned to Meshach Vedanayaga Samuel?
The Meshach Vedanayaga Samuel was issued its 1124092341 on 2006-02-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Meshach Vedanayaga Samuel most recently updated?
The details pertaining to the Meshach Vedanayaga Samuel, including its address, specialty, and other relevant information, were last refreshed on 2016-12-01.
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