Thekkumkattil D James in Fort Wayne - Adult Medicine
Thekkumkattil D James - NPI 1578523676
Thekkumkattil D James is a Adult Medicine in Fort Wayne, Indiana. Thekkumkattil D James practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Thekkumkattil D James is 1578523676. The last update date is 2013-09-25.
Thekkumkattil D James's current location address is 2510 E Dupont Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604896969 and fax number 2604903939. The mailing address for Thekkumkattil D James is 2510 E Dupont Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thekkumkattil D James |
|---|---|
| Address | 2510 E Dupont Rd, Fort Wayne, Indiana |
| Phone Number | 2604896969 |
| Fax Number | 2604903939 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578523676 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2013-09-25 |
Provider Mailing Address Detail
| Address | 2510 E Dupont Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 46825 |
| Phone Number | 2604896969 |
| Fax Number | 2604903939 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 01034777B |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 690072 | IN | ANTHEM | |
| 100080860 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thekkumkattil D James by the Centers for Medicare & Medicaid Services?
The Thekkumkattil D James has been issued the NPI (National Provider Identifier) 1578523676, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Thekkumkattil D James is physically located?
The Thekkumkattil D James is situated at the following address: 2510 E Dupont Rd, Fort Wayne, IN 46825.
What is Thekkumkattil D James's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thekkumkattil D James is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
On what date did Thekkumkattil D James receive its 1578523676 assignment from the Centers for Medicare & Medicaid Services?
The Thekkumkattil D James was assigned its 1578523676 on 2006-03-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Thekkumkattil D James most recently updated or revised?
The details related to Thekkumkattil D James, including its address, specialty, and other relevant information, were last updated or revised on 2013-09-25.