Kochicheril N Moni in Live Oak - Cardiovascular Disease

Kochicheril N Moni - NPI 1942207485

Kochicheril N Moni is a Cardiovascular Disease in Live Oak, Florida. Kochicheril N Moni practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Kochicheril N Moni is 1942207485. The last update date is 2011-09-08.

Kochicheril N Moni's current location address is 1116 Sw 11th Street, Live Oak, Florida. You can contact this provider via phone number 3863620820 and fax number 3863620821. The mailing address for Kochicheril N Moni is 1116 Sw 11th Street, Live Oak, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kochicheril N Moni
Address 1116 Sw 11th Street, Live Oak, Florida
Phone Number 3863620820
Fax Number 3863620821
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1942207485
Provider Enumeration Date 2005-06-30
Last Updated Date 2011-09-08

Provider Mailing Address Detail

Address 1116 Sw 11th Street
City Live Oak
State Florida (FL)
Post Code 32064
Phone Number 3863620820
Fax Number 3863620821

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 101031293
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6085164 VA --

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FAQs about Kochicheril N Moni

What is the Kochicheril N Moni's unique identification number?

The Kochicheril N Moni has been assigned the NPI (National Provider Identifier) Number 1942207485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Kochicheril N Moni's facilities are geographically located?

The facilities of Kochicheril N Moni are physically situated at the following location: 1116 Sw 11Th Street, Live Oak, FL, 32064.

What is Kochicheril N Moni's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kochicheril N Moni is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.

On what date did Kochicheril N Moni receive its 1942207485 assignment from the Centers for Medicare & Medicaid Services?

The Kochicheril N Moni was assigned its 1942207485 on 2005-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kochicheril N Moni last refreshed?

The information related to the Kochicheril N Moni, including its address, specialty, and other relevant details, was last updated on 2011-09-08.

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