Indira Mammen in Cedarburg - Obstetrics & Gynecology

Indira Mammen - NPI 1427094796

Indira Mammen is a Obstetrics & Gynecology in Cedarburg, Wisconsin. Indira Mammen practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Indira Mammen is 1427094796. The last update date is 2007-07-08.

Indira Mammen's current location address is 4922 Columbia Rd, Cedarburg, Wisconsin. You can contact this provider via phone number 2623752829 and fax number 2623758513. The mailing address for Indira Mammen is 4922 Columbia Rd, Cedarburg, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Indira Mammen
Address 4922 Columbia Rd, Cedarburg, Wisconsin
Phone Number 2623752829
Fax Number 2623758513
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1427094796
Provider Enumeration Date 2006-06-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4922 Columbia Rd
City Cedarburg
State Wisconsin (WI)
Post Code 530129188
Phone Number 2623752829
Fax Number 2623758513

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 21773
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30415000 WI --

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FAQs about Indira Mammen

What is the unique provider identifier assigned to Indira Mammen?

The Indira Mammen has been issued the NPI (National Provider Identifier) 1427094796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Indira Mammen's facilities are geographically located?

The facilities of Indira Mammen are physically situated at the following location: 4922 Columbia Rd, Cedarburg, WI, 530129188.

What is Indira Mammen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Indira Mammen's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1427094796 to Indira Mammen?

The Centers for Medicare & Medicaid Services assigned the 1427094796 to Indira Mammen on 2006-06-22.

When was the information regarding Indira Mammen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Indira Mammen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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