Robert L Bacallao in Indianapolis - Nephrology
Robert L Bacallao - NPI 1295792760
Robert L Bacallao is a Nephrology in Indianapolis, Indiana. Robert L Bacallao practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Robert L Bacallao is 1295792760. The last update date is 2020-11-20.
Robert L Bacallao's current location address is 1481 W 10th St # C3004, Indianapolis, Indiana. You can contact this provider via phone number 3179882633 and fax number 3179680139. The mailing address for Robert L Bacallao is 1481 W 10th St # C3004, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert L Bacallao |
|---|---|
| Address | 1481 W 10th St # C3004, Indianapolis, Indiana |
| Phone Number | 3179882633 |
| Fax Number | 3179680139 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295792760 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2020-11-20 |
Provider Mailing Address Detail
| Address | 1481 W 10th St # C3004 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462022803 |
| Phone Number | 3179882633 |
| Fax Number | 3179680139 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 1044965 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200048040 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert L Bacallao by the Centers for Medicare & Medicaid Services (CMS)?
The Robert L Bacallao has been assigned the NPI (National Provider Identifier) 1295792760. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Robert L Bacallao?
The Robert L Bacallao is situated at 1481 W 10Th St # C3004, in the city of Indianapolis, state of IN, with the zip code 462022803.
What is Robert L Bacallao's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert L Bacallao is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295792760 to Robert L Bacallao?
The Robert L Bacallao received its 1295792760 assignment from the Centers for Medicare & Medicaid Services on 2006-04-28.
When was the information pertaining to Robert L Bacallao most recently updated or revised?
The details related to Robert L Bacallao, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-20.
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