Channagatta R Triyambakaraj in Glendale - Internal Medicine
Channagatta R Triyambakaraj - NPI 1578642856
Channagatta R Triyambakaraj is a Internal Medicine in Glendale, Wisconsin. Channagatta R Triyambakaraj practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Channagatta R Triyambakaraj is 1578642856. The last update date is 2012-06-12.
Channagatta R Triyambakaraj's current location address is 4425 N Port Washington Rd, Glendale, Wisconsin. You can contact this provider via phone number 4143193000. The mailing address for Channagatta R Triyambakaraj is 4425 N Port Washington Rd, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Channagatta R Triyambakaraj |
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Address | 4425 N Port Washington Rd, Glendale, Wisconsin |
Phone Number | 4143193000 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1578642856 |
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Provider Enumeration Date | 2006-11-06 |
Last Updated Date | 2012-06-12 |
Provider Mailing Address Detail
Address | 4425 N Port Washington Rd |
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City | Glendale |
State | Wisconsin (WI) |
Post Code | 532121082 |
Phone Number | 4143193000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 19733 |
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 |
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30139500 | WI | -- |
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What is the unique identification code assigned to Channagatta R Triyambakaraj by the Centers for Medicare & Medicaid Services?
The Channagatta R Triyambakaraj has been issued the NPI (National Provider Identifier) 1578642856. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Channagatta R Triyambakaraj located?
The Channagatta R Triyambakaraj is located at 4425 N Port Washington Rd, Glendale, WI 532121082.
What is Channagatta R Triyambakaraj's area of expertise and its corresponding taxonomy classification?
The Channagatta R Triyambakaraj's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Channagatta R Triyambakaraj receive its 1578642856 assignment from the Centers for Medicare & Medicaid Services?
The Channagatta R Triyambakaraj was assigned its 1578642856 by the Centers for Medicare & Medicaid Services on 2006-11-06.
When was the information regarding Channagatta R Triyambakaraj most recently updated?
The details pertaining to the Channagatta R Triyambakaraj, including its address, specialty, and other relevant information, were last refreshed on 2012-06-12.