Matthew Theodore Draelos in Edmond - Endocrinology, Diabetes & Metabolism

Matthew Theodore Draelos - NPI 1437221694

Matthew Theodore Draelos is a Endocrinology, Diabetes & Metabolism in Edmond, Oklahoma. Matthew Theodore Draelos practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Matthew Theodore Draelos is 1437221694. The last update date is 2008-10-22.

Matthew Theodore Draelos's current location address is 200 N Bryant Ave, Edmond, Oklahoma. You can contact this provider via phone number 4053302362 and fax number 4053302363. The mailing address for Matthew Theodore Draelos is 200 N Bryant Ave, Edmond, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew Theodore Draelos
Address 200 N Bryant Ave, Edmond, Oklahoma
Phone Number 4053302362
Fax Number 4053302363
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1437221694
Provider Enumeration Date 2006-11-14
Last Updated Date 2008-10-22

Provider Mailing Address Detail

Address 200 N Bryant Ave
City Edmond
State Oklahoma (OK)
Post Code 730346273
Phone Number 4053302362
Fax Number 4053302363

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Licence No 15748
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OK401293 OK MEDICARE TPAN

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FAQs about Matthew Theodore Draelos

What is the unique identifier code issued to Matthew Theodore Draelos by the Centers for Medicare & Medicaid Services (CMS)?

The Matthew Theodore Draelos has been assigned the NPI (National Provider Identifier) 1437221694. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Matthew Theodore Draelos is physically located?

The Matthew Theodore Draelos is situated at the following address: 200 N Bryant Ave, Edmond, OK 730346273.

What is the Matthew Theodore Draelos's area of specialization and corresponding taxonomy classification?

The Matthew Theodore Draelos's specialty field is Endocrinology, Diabetes & Metabolism, and it falls under the taxonomy code 207Re0101X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1437221694 to Matthew Theodore Draelos?

The Centers for Medicare & Medicaid Services originally issued the 1437221694 to Matthew Theodore Draelos on 2006-11-14.

As of what date were the details related to Matthew Theodore Draelos most recently updated or revised?

The information pertaining to Matthew Theodore Draelos, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-22.

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