Marcelo Granado Polanco in Church Point - Family Medicine
Marcelo Granado Polanco - NPI 1982789194
Marcelo Granado Polanco is a Family Medicine in Church Point, Louisiana. Marcelo Granado Polanco practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marcelo Granado Polanco is 1982789194. The last update date is 2011-06-07.
Marcelo Granado Polanco's current location address is 731 S Main St Ste A, Church Point, Louisiana. You can contact this provider via phone number 3376840911 and fax number 3376840912. The mailing address for Marcelo Granado Polanco is 731 S Main St Ste A, Church Point, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marcelo Granado Polanco |
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Address | 731 S Main St Ste A, Church Point, Louisiana |
Phone Number | 3376840911 |
Fax Number | 3376840912 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1982789194 |
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Provider Enumeration Date | 2006-10-26 |
Last Updated Date | 2011-06-07 |
Provider Mailing Address Detail
Address | 731 S Main St Ste A |
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City | Church Point |
State | Louisiana (LA) |
Post Code | 70525 |
Phone Number | 3376840911 |
Fax Number | 3376840912 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 23828 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1485438 | LA | -- |
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What is the unique 10-digit identification code assigned to Marcelo Granado Polanco by the Centers for Medicare & Medicaid Services?
The Marcelo Granado Polanco has been issued the NPI (National Provider Identifier) 1982789194, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marcelo Granado Polanco?
The Marcelo Granado Polanco is situated at 731 S Main St Ste A, in the city of Church Point, state of LA, with the zip code 70525.
What is Marcelo Granado Polanco's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marcelo Granado Polanco is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did Marcelo Granado Polanco receive its 1982789194 assignment from the Centers for Medicare & Medicaid Services?
The Marcelo Granado Polanco was assigned its 1982789194 on 2006-10-26, 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 related to Marcelo Granado Polanco most recently updated or revised?
The information pertaining to Marcelo Granado Polanco, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-07.
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