Dominic M Pedulla in Oklahoma City - Cardiovascular Disease
Dominic M Pedulla - NPI 1558321489
Dominic M Pedulla is a Cardiovascular Disease in Oklahoma City, Oklahoma. Dominic M Pedulla practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Dominic M Pedulla is 1558321489. The last update date is 2014-11-18.
Dominic M Pedulla's current location address is 3300 Nw 56th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059472228 and fax number 4059472307. The mailing address for Dominic M Pedulla is 3300 Nw 56th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominic M Pedulla |
|---|---|
| Address | 3300 Nw 56th St, Oklahoma City, Oklahoma |
| Phone Number | 4059472228 |
| Fax Number | 4059472307 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558321489 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2014-11-18 |
Provider Mailing Address Detail
| Address | 3300 Nw 56th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731124538 |
| Phone Number | 4059472228 |
| Fax Number | 4059472307 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 17642 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110093997 | RR MEDICARE | ||
| 100012360A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dominic M Pedulla by the Centers for Medicare & Medicaid Services?
The Dominic M Pedulla has been issued the NPI (National Provider Identifier) 1558321489 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Dominic M Pedulla is located?
The Dominic M Pedulla is situated at the following address: 3300 Nw 56Th St, Oklahoma City, OK, 731124538.
What is Dominic M Pedulla's area of expertise and its corresponding taxonomy classification?
The Dominic M Pedulla's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1558321489 to Dominic M Pedulla?
The Centers for Medicare & Medicaid Services assigned the 1558321489 to Dominic M Pedulla on 2006-03-24.
When was the Dominic M Pedulla's information last updated?
The Dominic M Pedulla's information was last updated on 2014-11-18.