Steven John Petrakis in Dulce - Family Medicine
Steven John Petrakis - NPI 1265591606
Steven John Petrakis is a Family Medicine in Dulce, New Mexico. Steven John Petrakis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Steven John Petrakis is 1265591606. The last update date is 2011-08-11.
Steven John Petrakis's current location address is 500 North Mundo, Dulce, New Mexico. You can contact this provider via phone number 5757593291 and fax number 5757597294. The mailing address for Steven John Petrakis is 500 North Mundo, Dulce, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven John Petrakis |
|---|---|
| Address | 500 North Mundo, Dulce, New Mexico |
| Phone Number | 5757593291 |
| Fax Number | 5757597294 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265591606 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2011-08-11 |
Provider Mailing Address Detail
| Address | 500 North Mundo |
|---|---|
| City | Dulce |
| State | New Mexico (NM) |
| Post Code | 875281010 |
| Phone Number | 5757593291 |
| Fax Number | 5757597294 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | NM96-117 |
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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 |
|---|---|---|---|
| 8HN067 | NM | MEDICARE PTAN # | |
| K3526 | NM | -- | |
| 000S5584 | NM | MEDICAID PROVIDER # | |
| HSZ196 | NM | MEDICARE PART B # |
Post Comment/ Review Below
What is the unique identification code assigned to Steven John Petrakis by the Centers for Medicare & Medicaid Services?
The Steven John Petrakis has been issued the NPI (National Provider Identifier) 1265591606. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Steven John Petrakis's physical address?
The Steven John Petrakis is physically located at 500 North Mundo, in the city of Dulce, NM, with the postal code 875281010.
What is Steven John Petrakis's area of expertise and its corresponding taxonomy classification?
The Steven John Petrakis's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did the Steven John Petrakis receive its 1265591606?
The Steven John Petrakis was issued its 1265591606 on 2006-12-08, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Steven John Petrakis most recently updated or revised?
The details related to Steven John Petrakis, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-11.
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