Michael Roy Fredericks in Danville - Nephrology

Michael Roy Fredericks - NPI 1699730341

Michael Roy Fredericks is a Nephrology in Danville, Virginia. Michael Roy Fredericks practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Michael Roy Fredericks is 1699730341. The last update date is 2015-06-03.

Michael Roy Fredericks's current location address is 1040 Main St, Danville, Virginia. You can contact this provider via phone number 4347921433 and fax number 4347972807. The mailing address for Michael Roy Fredericks is 1040 Main St, Danville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Roy Fredericks
Address 1040 Main St, Danville, Virginia
Phone Number 4347921433
Fax Number 4347972807
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699730341
Provider Enumeration Date 2006-04-18
Last Updated Date 2015-06-03

Provider Mailing Address Detail

Address 1040 Main St
City Danville
State Virginia (VA)
Post Code 245411816
Phone Number 4347921433
Fax Number 4347972807

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No 101233036
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7433254 CIGNA
384373 MAMSI
89065HO NC --
10131669 VA --
171782 VA ANTHEM

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FAQs about Michael Roy Fredericks

What is the unique 10-digit identifier code issued to Michael Roy Fredericks by the Centers for Medicare & Medicaid Services?

The Michael Roy Fredericks has been assigned the NPI (National Provider Identifier) 1699730341 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Michael Roy Fredericks's facilities are situated?

The facilities of Michael Roy Fredericks are physically located at the following address: 1040 Main St, Danville, VA, 245411816.

What is Michael Roy Fredericks's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Roy Fredericks's area of specialization is Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 207Rn0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699730341 to Michael Roy Fredericks?

The Centers for Medicare & Medicaid Services assigned the 1699730341 to Michael Roy Fredericks on 2006-04-18.

As of what date was the information regarding Michael Roy Fredericks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Roy Fredericks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-06-03.

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