Teodoro G Medina in Bridgeport - Gastroenterology

Teodoro G Medina - NPI 1134175094

Teodoro G Medina is a Gastroenterology in Bridgeport, . Teodoro G Medina practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Teodoro G Medina is 1134175094. The last update date is 2007-11-07.

Teodoro G Medina's current location address is Po Box 881, Bridgeport, . You can contact this provider via phone number 3048425449 and fax number 3048425440. The mailing address for Teodoro G Medina is Po Box 881, Bridgeport, . To know further, please read the information below!

Provider Profile Detail

Provider Name Teodoro G Medina
Address Po Box 881, Bridgeport,
Phone Number 3048425449
Fax Number 3048425440
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1134175094
Provider Enumeration Date 2006-05-25
Last Updated Date 2007-11-07

Provider Mailing Address Detail

Address Po Box 881
City Bridgeport
State (WV)
Post Code 263300881
Phone Number 3048425449
Fax Number 3048425440

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 12904
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
83622000 WV --

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FAQs about Teodoro G Medina

What is the unique identification code assigned to Teodoro G Medina by the Centers for Medicare & Medicaid Services?

The Teodoro G Medina has been issued the NPI (National Provider Identifier) 1134175094. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Teodoro G Medina's facilities are situated?

The facilities of Teodoro G Medina are physically located at the following address: Po Box 881, Bridgeport, WV, 263300881.

What is Teodoro G Medina's area of expertise and its corresponding taxonomy classification?

The Teodoro G Medina's field of specialization is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1134175094 to Teodoro G Medina?

The Teodoro G Medina received its 1134175094 assignment from the Centers for Medicare & Medicaid Services on 2006-05-25.

When was the information regarding Teodoro G Medina most recently updated?

The details pertaining to the Teodoro G Medina, including its address, specialty, and other relevant information, were last refreshed on 2007-11-07.

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