Mayuga Medical Practice in Darien - Cardiovascular Disease
Mayuga Medical Practice - NPI 1396789053
Mayuga Medical Practice is a Cardiovascular Disease in Darien, Illinois. Mayuga Medical Practice practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Mayuga Medical Practice is 1396789053. The last update date is 2014-03-25.
Mayuga Medical Practice's current location address is 18w 163 Holly Ave, Darien, Illinois. You can contact this provider via phone number 8476760091 and fax number 8476762374. The mailing address for Mayuga Medical Practice is 18w 163 Holly Ave, Darien, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mayuga Medical Practice |
|---|---|
| Address | 18w 163 Holly Ave, Darien, Illinois |
| Phone Number | 8476760091 |
| Fax Number | 8476762374 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mayuga Ruperto |
| Credentials | M.D. |
| Telephone Number | 7732817660 |
NPI Number Detail
| NPI Number | 1396789053 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2014-03-25 |
Provider Mailing Address Detail
| Address | 18w 163 Holly Ave |
|---|---|
| City | Darien |
| State | Illinois (IL) |
| Post Code | 60561 |
| Phone Number | 8476760091 |
| Fax Number | 8476762374 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 36075687 |
|
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 |
|---|---|---|---|
| 1605124 | IL | BLUE CROSS BLUE SHIELD IL | |
| 36075687 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mayuga Medical Practice by the Centers for Medicare & Medicaid Services?
The Mayuga Medical Practice has been issued the NPI (National Provider Identifier) 1396789053, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Mayuga Medical Practice's area of specialization and corresponding taxonomy classification?
The Mayuga Medical Practice's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.
What is Mayuga Medical Practice's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mayuga Medical Practice is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.
On what date did the Mayuga Medical Practice receive its 1396789053 assignment from the Centers for Medicare & Medicaid Services?
The Mayuga Medical Practice was assigned its 1396789053 by the Centers for Medicare & Medicaid Services on 2006-06-15.
As of what date were the Mayuga Medical Practice's details last updated?
The information pertaining to the Mayuga Medical Practice, including its address, specialty, and other details, was most recently updated on 2014-03-25.
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