Imam Eko Tjahja in Dallas - Cardiovascular Disease
Imam Eko Tjahja - NPI 1760472948
Imam Eko Tjahja is a Cardiovascular Disease in Dallas, Texas. Imam Eko Tjahja practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Imam Eko Tjahja is 1760472948. The last update date is 2023-02-24.
Imam Eko Tjahja's current location address is Po Box 846098, Dallas, Texas. You can contact this provider via phone number 9036066400 and fax number 9036061522. The mailing address for Imam Eko Tjahja is Po Box 846098, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Imam Eko Tjahja |
|---|---|
| Address | Po Box 846098, Dallas, Texas |
| Phone Number | 9036066400 |
| Fax Number | 9036061522 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760472948 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2023-02-24 |
Provider Mailing Address Detail
| Address | Po Box 846098 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752846098 |
| Phone Number | 9036066400 |
| Fax Number | 9036061522 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | J9393 |
|
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 |
|---|---|---|---|
| 104420801 | TX | -- | |
| 629794AS1D | TX | MEDICARE ID |
Post Comment/ Review Below
What is the Imam Eko Tjahja's 1760472948?
The Imam Eko Tjahja's NPI (National Provider Identifier) Number is 1760472948. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Imam Eko Tjahja is located?
The Imam Eko Tjahja is situated at the following address: Po Box 846098, Dallas, TX, 752846098.
What is Imam Eko Tjahja's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Imam Eko Tjahja is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.
On what date did Imam Eko Tjahja receive its 1760472948 assignment from the Centers for Medicare & Medicaid Services?
The Imam Eko Tjahja was assigned its 1760472948 on 2005-10-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Imam Eko Tjahja's information last updated?
The Imam Eko Tjahja's information was last updated on 2023-02-24.