Kevin Blase Deandrade in Mobile - Interventional Cardiology
Kevin Blase Deandrade - NPI 1174781017
Kevin Blase Deandrade is a Interventional Cardiology in Mobile, Alabama. Kevin Blase Deandrade practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Kevin Blase Deandrade is 1174781017. The last update date is 2019-05-06.
Kevin Blase Deandrade's current location address is 6701 Airport Blvd, Mobile, Alabama. You can contact this provider via phone number 2514334700 and fax number 2514358549. The mailing address for Kevin Blase Deandrade is 6701 Airport Blvd, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin Blase Deandrade |
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Address | 6701 Airport Blvd, Mobile, Alabama |
Phone Number | 2514334700 |
Fax Number | 2514358549 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1174781017 |
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Provider Enumeration Date | 2008-05-28 |
Last Updated Date | 2019-05-06 |
Provider Mailing Address Detail
Address | 6701 Airport Blvd |
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City | Mobile |
State | Alabama (AL) |
Post Code | 366086774 |
Phone Number | 2514334700 |
Fax Number | 2514358549 |
Provider's Primary Taxonomy Detail
Speciality | Interventional Cardiology |
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Taxonomy | 207Ri0011X |
Licence No | 30054 |
Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1063477644 | AL | -- |
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What is the unique identifier code issued to Kevin Blase Deandrade by the Centers for Medicare & Medicaid Services?
The Kevin Blase Deandrade has been assigned the NPI (National Provider Identifier) 1174781017. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kevin Blase Deandrade's physical address?
The Kevin Blase Deandrade is physically located at 6701 Airport Blvd, in the city of Mobile, AL, with the postal code 366086774.
What is Kevin Blase Deandrade's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Blase Deandrade is Interventional Cardiology, and the taxonomy code that classifies this field of practice is 207Ri0011X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174781017 to Kevin Blase Deandrade?
The Kevin Blase Deandrade received its 1174781017 assignment from the Centers for Medicare & Medicaid Services on 2008-05-28.
When was the information related to Kevin Blase Deandrade most recently updated or refreshed?
The details pertaining to the Kevin Blase Deandrade, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-05-06.