Octavia Evette Pickett-Blakely in Philadelphia - Internal Medicine

Octavia Evette Pickett-Blakely - NPI 1700941309

Octavia Evette Pickett-Blakely is a Internal Medicine in Philadelphia, Pennsylvania. Octavia Evette Pickett-Blakely practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Octavia Evette Pickett-Blakely is 1700941309. The last update date is 2016-02-04.

Octavia Evette Pickett-Blakely's current location address is 3400 Civic Center Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153498222. The mailing address for Octavia Evette Pickett-Blakely is 3400 Civic Center Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Octavia Evette Pickett-Blakely
Address 3400 Civic Center Blvd, Philadelphia, Pennsylvania
Phone Number 2153498222
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1700941309
Provider Enumeration Date 2006-12-26
Last Updated Date 2016-02-04

Provider Mailing Address Detail

Address 3400 Civic Center Blvd
City Philadelphia
State Pennsylvania (PA)
Post Code 191045127
Phone Number 2153498222
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD439919
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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FAQs about Octavia Evette Pickett-Blakely

What is the unique 10-digit identification code assigned to Octavia Evette Pickett-Blakely by the Centers for Medicare & Medicaid Services?

The Octavia Evette Pickett-Blakely has been issued the NPI (National Provider Identifier) 1700941309, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Octavia Evette Pickett-Blakely is geographically located?

The Octavia Evette Pickett-Blakely is physically situated at the following location: 3400 Civic Center Blvd, Philadelphia, PA, 191045127.

What is Octavia Evette Pickett-Blakely's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Octavia Evette Pickett-Blakely is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did Octavia Evette Pickett-Blakely receive its 1700941309 assignment from the Centers for Medicare & Medicaid Services?

The Octavia Evette Pickett-Blakely was assigned its 1700941309 on 2006-12-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Octavia Evette Pickett-Blakely, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Octavia Evette Pickett-Blakely, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-04.

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