Rajamanickam Purushothaman in Springfield - Geriatric Medicine
Rajamanickam Purushothaman - NPI 1558403519
Rajamanickam Purushothaman is a Geriatric Medicine in Springfield, Missouri. Rajamanickam Purushothaman practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Rajamanickam Purushothaman is 1558403519. The last update date is 2008-07-22.
Rajamanickam Purushothaman's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620 and fax number 4178294316. The mailing address for Rajamanickam Purushothaman is Po Box 2580, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rajamanickam Purushothaman |
|---|---|
| Address | Po Box 2580, Springfield, Missouri |
| Phone Number | 4178294620 |
| Fax Number | 4178294316 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558403519 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | Po Box 2580 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658012580 |
| Phone Number | 4178294620 |
| Fax Number | 4178294316 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 105696 |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 82272 | MO | AR BLUE SHIELD # | |
| 203973813 | MO | -- | |
| 148760001 | AR | -- |
Post Comment/ Review Below
What is the Rajamanickam Purushothaman's 1558403519?
The Rajamanickam Purushothaman's NPI (National Provider Identifier) Number is 1558403519. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Rajamanickam Purushothaman located?
The Rajamanickam Purushothaman is located at Po Box 2580, Springfield, MO 658012580.
What is Rajamanickam Purushothaman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rajamanickam Purushothaman is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rg0300X.
On what date did the Rajamanickam Purushothaman receive the assignment of its 1558403519 from the Centers for Medicare & Medicaid Services?
The Rajamanickam Purushothaman was issued its 1558403519 by the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date were the details pertaining to Rajamanickam Purushothaman last refreshed?
The information related to the Rajamanickam Purushothaman, including its address, specialty, and other relevant details, was last updated on 2008-07-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC