Jayadevan Kundumadathil in Indialantic - Internal Medicine

Jayadevan Kundumadathil - NPI 1912968918

Jayadevan Kundumadathil is a Internal Medicine in Indialantic, Florida. Jayadevan Kundumadathil practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jayadevan Kundumadathil is 1912968918. The last update date is 2011-10-24.

Jayadevan Kundumadathil's current location address is 406 5th Ave, Indialantic, Florida. You can contact this provider via phone number 3214738974 and fax number 3214738976. The mailing address for Jayadevan Kundumadathil is 406 5th Ave, Indialantic, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jayadevan Kundumadathil
Address 406 5th Ave, Indialantic, Florida
Phone Number 3214738974
Fax Number 3214738976
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1912968918
Provider Enumeration Date 2006-03-29
Last Updated Date 2011-10-24

Provider Mailing Address Detail

Address 406 5th Ave
City Indialantic
State Florida (FL)
Post Code 329034280
Phone Number 3214738974
Fax Number 3214738976

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME78547
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
110205422 RAIL ROAD MEDICARE
258183300 FL --

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FAQs about Jayadevan Kundumadathil

What is the unique identifier code issued to Jayadevan Kundumadathil by the Centers for Medicare & Medicaid Services?

The Jayadevan Kundumadathil has been assigned the NPI (National Provider Identifier) 1912968918. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jayadevan Kundumadathil is physically located?

The Jayadevan Kundumadathil is situated at the following address: 406 5Th Ave, Indialantic, FL 329034280.

What is Jayadevan Kundumadathil's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jayadevan Kundumadathil's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912968918 to Jayadevan Kundumadathil?

The Centers for Medicare & Medicaid Services assigned the 1912968918 to Jayadevan Kundumadathil on 2006-03-29.

As of what date were the Jayadevan Kundumadathil's details last updated?

The information pertaining to the Jayadevan Kundumadathil, including its address, specialty, and other details, was most recently updated on 2011-10-24.

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