Id Micro Pllc in Kingsport - Infectious Disease
Id Micro Pllc - NPI 1477598076
Id Micro Pllc is a Infectious Disease in Kingsport, Tennessee. Id Micro Pllc practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Id Micro Pllc is 1477598076. The last update date is 2012-01-24.
Id Micro Pllc's current location address is 130 W Ravine Rd, Kingsport, Tennessee. You can contact this provider via phone number 4239151126 and fax number 4239150635. The mailing address for Id Micro Pllc is 130 W Ravine Rd, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Id Micro Pllc |
|---|---|
| Address | 130 W Ravine Rd, Kingsport, Tennessee |
| Phone Number | 4239151126 |
| Fax Number | 4239150635 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Maki Anton |
| Credentials | MD |
| Telephone Number | 4239151126 |
NPI Number Detail
| NPI Number | 1477598076 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2012-01-24 |
Provider Mailing Address Detail
| Address | 130 W Ravine Rd |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376603837 |
| Phone Number | 4239151126 |
| Fax Number | 4239150635 |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | MD38189 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Id Micro Pllc by the Centers for Medicare & Medicaid Services?
The Id Micro Pllc has been issued the NPI (National Provider Identifier) 1477598076 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Id Micro Pllc located?
The Id Micro Pllc is located at 130 W Ravine Rd, Kingsport, TN 376603837.
What is Id Micro Pllc'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 Id Micro Pllc is Infectious Disease, and the taxonomy classification code that categorizes this area of expertise is 207Ri0200X.
On what date was the 1477598076 assigned to Id Micro Pllc?
The Id Micro Pllc was issued its 1477598076 on 2006-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Id Micro Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Id Micro Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-24.