Your Visiting Doctor, Pllc in Peoria - Geriatric Medicine
Your Visiting Doctor, Pllc - NPI 1417118563
Your Visiting Doctor, Pllc is a Geriatric Medicine in Peoria, Arizona. Your Visiting Doctor, Pllc practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Your Visiting Doctor, Pllc is 1417118563. The last update date is 2016-07-15.
Your Visiting Doctor, Pllc's current location address is Po Box 1149, Peoria, Arizona. You can contact this provider via phone number 6239109730 and fax number 6026807576. The mailing address for Your Visiting Doctor, Pllc is Po Box 1149, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Your Visiting Doctor, Pllc |
---|---|
Address | Po Box 1149, Peoria, Arizona |
Phone Number | 6239109730 |
Fax Number | 6026807576 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
---|---|
Authorized Official Name | Dharmarajan Deepa |
Credentials | M.D. |
Telephone Number | 6239109730 |
NPI Number Detail
NPI Number | 1417118563 |
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Provider Enumeration Date | 2008-06-20 |
Last Updated Date | 2016-07-15 |
Provider Mailing Address Detail
Address | Po Box 1149 |
---|---|
City | Peoria |
State | Arizona (AZ) |
Post Code | 853801149 |
Phone Number | 6239109730 |
Fax Number | 6026807576 |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Medicine |
---|---|
Taxonomy | 207Qg0300X |
Licence No | 35176 |
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the unique identification code assigned to Your Visiting Doctor, Pllc by the Centers for Medicare & Medicaid Services?
The Your Visiting Doctor, Pllc has been issued the NPI (National Provider Identifier) 1417118563. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Your Visiting Doctor, Pllc is located?
The Your Visiting Doctor, Pllc is situated at the following address: Po Box 1149, Peoria, AZ, 853801149.
What is the Your Visiting Doctor, Pllc's specialty and taxonomy code?
The Your Visiting Doctor, Pllc's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.
On what date did Your Visiting Doctor, Pllc receive its 1417118563 assignment from the Centers for Medicare & Medicaid Services?
The Your Visiting Doctor, Pllc was assigned its 1417118563 on 2008-06-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Your Visiting Doctor, Pllc most recently updated or refreshed?
The details pertaining to the Your Visiting Doctor, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-15.
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