Vincent Joseph Maddela in Bakersfield - Adult Medicine

Vincent Joseph Maddela - NPI 1851430797

Vincent Joseph Maddela is a Adult Medicine in Bakersfield, California. Vincent Joseph Maddela practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Vincent Joseph Maddela is 1851430797. The last update date is 2013-02-21.

Vincent Joseph Maddela's current location address is 2701 Chester Ave, Bakersfield, California. You can contact this provider via phone number 6617169422 and fax number 6613230889. The mailing address for Vincent Joseph Maddela is 2701 Chester Ave, Bakersfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Vincent Joseph Maddela
Address 2701 Chester Ave, Bakersfield, California
Phone Number 6617169422
Fax Number 6613230889
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1851430797
Provider Enumeration Date 2007-02-06
Last Updated Date 2013-02-21

Provider Mailing Address Detail

Address 2701 Chester Ave
City Bakersfield
State California (CA)
Post Code 933012016
Phone Number 6617169422
Fax Number 6613230889

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No A53726
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ01707Z CA MEDICARE GROUP #
GR0092950 CA MEDI-CAL GROUP #
ZZZ01800Z CA BLUE SHIELD GROUP PROV #

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FAQs about Vincent Joseph Maddela

What is the unique provider identifier assigned to Vincent Joseph Maddela?

The Vincent Joseph Maddela has been issued the NPI (National Provider Identifier) 1851430797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Vincent Joseph Maddela?

The Vincent Joseph Maddela is situated at 2701 Chester Ave, in the city of Bakersfield, state of CA, with the zip code 933012016.

What is Vincent Joseph Maddela's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Vincent Joseph Maddela is Adult Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0505X.

On what date was the 1851430797 assigned to Vincent Joseph Maddela?

The Vincent Joseph Maddela was issued its 1851430797 on 2007-02-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Vincent Joseph Maddela, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vincent Joseph Maddela, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-21.

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