Nikom Udom Medical Clinic in Gridley - Internal Medicine

Nikom Udom Medical Clinic - NPI 1992922942

Nikom Udom Medical Clinic is a Internal Medicine in Gridley, California. Nikom Udom Medical Clinic practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Nikom Udom Medical Clinic is 1992922942. The last update date is 2020-08-22.

Nikom Udom Medical Clinic's current location address is Po Box 947, Gridley, California. You can contact this provider via phone number 5308463604 and fax number 5308462108. The mailing address for Nikom Udom Medical Clinic is Po Box 947, Gridley, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Nikom Udom Medical Clinic
Address Po Box 947, Gridley, California
Phone Number 5308463604
Fax Number 5308462108
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Udomphonkul Nikom
Credentials M.D.
Telephone Number 5308463604

NPI Number Detail

NPI Number 1992922942
Provider Enumeration Date 2007-04-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 947
City Gridley
State California (CA)
Post Code 959480947
Phone Number 5308463604
Fax Number 5308462108

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A34194
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
00A341940 CA --

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FAQs about Nikom Udom Medical Clinic

What is the unique 10-digit identifier code issued to Nikom Udom Medical Clinic by the Centers for Medicare & Medicaid Services?

The Nikom Udom Medical Clinic has been assigned the NPI (National Provider Identifier) 1992922942 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Nikom Udom Medical Clinic's physical address?

The Nikom Udom Medical Clinic is physically located at Po Box 947, in the city of Gridley, CA, with the postal code 959480947.

What is the area of specialization for Nikom Udom Medical Clinic, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Nikom Udom Medical Clinic is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date was the 1992922942 assigned to Nikom Udom Medical Clinic?

The Nikom Udom Medical Clinic was issued its 1992922942 on 2007-04-19, 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 pertaining to Nikom Udom Medical Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nikom Udom Medical Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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