Mth Clinic Pc is a Internal Medicine in Gresham, Oregon. Mth Clinic Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mth Clinic Pc is 1558354522. The last update date is 2022-07-21.
Mth Clinic Pc's current location address is 24988 Se Stark St, Gresham, Oregon. You can contact this provider via phone number 5036745818 and fax number 5036746709. The mailing address for Mth Clinic Pc is 24988 Se Stark St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mth Clinic Pc |
|---|---|
| Address | 24988 Se Stark St, Gresham, Oregon |
| Phone Number | 5036745818 |
| Fax Number | 5036746709 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mahmood Fayyaz |
| Credentials | MD |
| Telephone Number | 5036745818 |
NPI Number Detail
| NPI Number | 1558354522 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 24988 Se Stark St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970308322 |
| Phone Number | 5036745818 |
| Fax Number | 5036746709 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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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 |
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What is the unique identification code assigned to Mth Clinic Pc by the Centers for Medicare & Medicaid Services?
The Mth Clinic Pc has been issued the NPI (National Provider Identifier) 1558354522. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mth Clinic Pc is physically located?
The Mth Clinic Pc is physically situated at the following address: 24988 Se Stark St, Gresham, OR, 970308322.
What is Mth Clinic Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mth Clinic Pc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Mth Clinic Pc receive its 1558354522 assignment from the Centers for Medicare & Medicaid Services?
The Mth Clinic Pc was assigned its 1558354522 by the Centers for Medicare & Medicaid Services on 2005-08-25.
As of what date were the Mth Clinic Pc's details last updated?
The information pertaining to the Mth Clinic Pc, including its address, specialty, and other details, was most recently updated on 2022-07-21.