Justice Aaron Gondwe in Grenada - Infectious Disease

Justice Aaron Gondwe - NPI 1912928086

Justice Aaron Gondwe is a Infectious Disease in Grenada, Mississippi. Justice Aaron Gondwe practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Justice Aaron Gondwe is 1912928086. The last update date is 2008-12-02.

Justice Aaron Gondwe's current location address is 965 Jk Avent Drive, Grenada, Mississippi. You can contact this provider via phone number 6622276450 and fax number 6622276452. The mailing address for Justice Aaron Gondwe is 965 Jk Avent Drive, Grenada, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Justice Aaron Gondwe
Address 965 Jk Avent Drive, Grenada, Mississippi
Phone Number 6622276450
Fax Number 6622276452
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1912928086
Provider Enumeration Date 2006-07-22
Last Updated Date 2008-12-02

Provider Mailing Address Detail

Address 965 Jk Avent Drive
City Grenada
State Mississippi (MS)
Post Code 38901
Phone Number 6622276450
Fax Number 6622276452

Provider's Primary Taxonomy Detail

Speciality Infectious Disease
Taxonomy 207Ri0200X
Licence No 20373
Definition:
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
491951 IA --
25140 IA BCBS
3116087 IA --

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FAQs about Justice Aaron Gondwe

What is the unique 10-digit identification code assigned to Justice Aaron Gondwe by the Centers for Medicare & Medicaid Services?

The Justice Aaron Gondwe has been issued the NPI (National Provider Identifier) 1912928086, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Justice Aaron Gondwe located?

The Justice Aaron Gondwe is located at 965 Jk Avent Drive, Grenada, MS 38901.

What is Justice Aaron Gondwe's area of expertise and its corresponding taxonomy classification?

The Justice Aaron Gondwe's field of specialization is Infectious Disease, and it falls under the taxonomy code 207Ri0200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912928086 to Justice Aaron Gondwe?

The Centers for Medicare & Medicaid Services originally issued the 1912928086 to Justice Aaron Gondwe on 2006-07-22.

As of what date were the details pertaining to Justice Aaron Gondwe last refreshed?

The information related to the Justice Aaron Gondwe, including its address, specialty, and other relevant details, was last updated on 2008-12-02.

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