Mouatou Mouanoutoua in Fresno - Internal Medicine

Mouatou Mouanoutoua - NPI 1396778189

Mouatou Mouanoutoua is a Internal Medicine in Fresno, California. Mouatou Mouanoutoua practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mouatou Mouanoutoua is 1396778189. The last update date is 2021-05-28.

Mouatou Mouanoutoua's current location address is 2625 E Divisadero St, Fresno, California. You can contact this provider via phone number 5594432682 and fax number 5594432681. The mailing address for Mouatou Mouanoutoua is 2625 E Divisadero St, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mouatou Mouanoutoua
Address 2625 E Divisadero St, Fresno, California
Phone Number 5594432682
Fax Number 5594432681
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1396778189
Provider Enumeration Date 2006-07-08
Last Updated Date 2021-05-28

Provider Mailing Address Detail

Address 2625 E Divisadero St
City Fresno
State California (CA)
Post Code 937211431
Phone Number 5594432682
Fax Number 5594432681

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A90873
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A908730 CA --

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FAQs about Mouatou Mouanoutoua

What is the unique 10-digit identification code issued to Mouatou Mouanoutoua by the Centers for Medicare & Medicaid Services?

The Mouatou Mouanoutoua has been assigned the NPI (National Provider Identifier) 1396778189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Mouatou Mouanoutoua?

The Mouatou Mouanoutoua is physically situated at 2625 E Divisadero St, in the city of Fresno, state of CA, with the postal code 937211431.

What is Mouatou Mouanoutoua's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mouatou Mouanoutoua is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396778189 to Mouatou Mouanoutoua?

The Mouatou Mouanoutoua received its 1396778189 assignment from the Centers for Medicare & Medicaid Services on 2006-07-08.

When was the information pertaining to Mouatou Mouanoutoua most recently updated or revised?

The details related to Mouatou Mouanoutoua, including its address, specialty, and other relevant information, were last updated or revised on 2021-05-28.

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