Aditya Manjul Derasari in Miami - Adult Reconstructive Orthopaedic Surgery
Aditya Manjul Derasari - NPI 1902070725
Aditya Manjul Derasari is a Adult Reconstructive Orthopaedic Surgery in Miami, Florida. Aditya Manjul Derasari practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Aditya Manjul Derasari is 1902070725. The last update date is 2019-03-13.
Aditya Manjul Derasari's current location address is 1611 Nw 12th Ave, Miami, Florida. You can contact this provider via phone number 3052433000. The mailing address for Aditya Manjul Derasari is 1611 Nw 12th Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Aditya Manjul Derasari |
|---|---|
| Address | 1611 Nw 12th Ave, Miami, Florida |
| Phone Number | 3052433000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902070725 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2019-03-13 |
Provider Mailing Address Detail
| Address | 1611 Nw 12th Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331361005 |
| Phone Number | 3052433000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | 276427 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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What is the unique provider identifier assigned to Aditya Manjul Derasari?
The Aditya Manjul Derasari has been issued the NPI (National Provider Identifier) 1902070725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Aditya Manjul Derasari's facilities are situated?
The facilities of Aditya Manjul Derasari are physically located at the following address: 1611 Nw 12Th Ave, Miami, FL, 331361005.
What is Aditya Manjul Derasari's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Aditya Manjul Derasari is Adult Reconstructive Orthopaedic Surgery, and the taxonomy code that categorizes this field of expertise is 207Xs0114X.
On what date did the Aditya Manjul Derasari receive its 1902070725 assignment from the Centers for Medicare & Medicaid Services?
The Aditya Manjul Derasari was assigned its 1902070725 by the Centers for Medicare & Medicaid Services on 2008-04-14.
When was the information regarding Aditya Manjul Derasari most recently updated?
The details pertaining to the Aditya Manjul Derasari, including its address, specialty, and other relevant information, were last refreshed on 2019-03-13.
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