Gary Masao Sunada in South Bend - Family Medicine
Gary Masao Sunada - NPI 1346224649
Gary Masao Sunada is a Family Medicine in South Bend, Indiana. Gary Masao Sunada practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary Masao Sunada is 1346224649. The last update date is 2022-07-21.
Gary Masao Sunada's current location address is 1815 E Ireland Rd, South Bend, Indiana. You can contact this provider via phone number 5746471750 and fax number 5746471748. The mailing address for Gary Masao Sunada is 1815 E Ireland Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Masao Sunada |
|---|---|
| Address | 1815 E Ireland Rd, South Bend, Indiana |
| Phone Number | 5746471750 |
| Fax Number | 5746471748 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1346224649 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1815 E Ireland Rd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466142845 |
| Phone Number | 5746471750 |
| Fax Number | 5746471748 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01030005A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247000005 | IN | MEDICARE PTAN | |
| 100358940 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gary Masao Sunada by the Centers for Medicare & Medicaid Services (CMS)?
The Gary Masao Sunada has been assigned the NPI (National Provider Identifier) 1346224649. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Gary Masao Sunada's physical address?
The Gary Masao Sunada is physically located at 1815 E Ireland Rd, in the city of South Bend, IN, with the postal code 466142845.
What is Gary Masao Sunada's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Masao Sunada's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date was the 1346224649 assigned to Gary Masao Sunada?
The Gary Masao Sunada was issued its 1346224649 on 2005-12-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gary Masao Sunada's details last updated?
The information pertaining to the Gary Masao Sunada, including its address, specialty, and other details, was most recently updated on 2022-07-21.