Yulianty D. Kusuma in Savannah - Internal Medicine
Yulianty D. Kusuma - NPI 1265627145
Yulianty D. Kusuma is a Internal Medicine in Savannah, Georgia. Yulianty D. Kusuma practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Yulianty D. Kusuma is 1265627145. The last update date is 2015-08-25.
Yulianty D. Kusuma's current location address is 6413 Waters Ave, Savannah, Georgia. You can contact this provider via phone number 9123496624 and fax number 9123544694. The mailing address for Yulianty D. Kusuma is 6413 Waters Ave, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yulianty D. Kusuma |
|---|---|
| Address | 6413 Waters Ave, Savannah, Georgia |
| Phone Number | 9123496624 |
| Fax Number | 9123544694 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265627145 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2015-08-25 |
Provider Mailing Address Detail
| Address | 6413 Waters Ave |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314062711 |
| Phone Number | 9123496624 |
| Fax Number | 9123544694 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 61279 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 007011626A | GA | -- | |
| 52233988 | GA | BCBS | |
| 1279332 | AMERIGROUP | ||
| 469648 | GA | WELLCARE | |
| P01048571 | GA | RAILROAD MEDICARE | |
| P00649653 | GA | RR MEDICARE | |
| G61279 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Yulianty D. Kusuma?
The Yulianty D. Kusuma has been issued the NPI (National Provider Identifier) 1265627145 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Yulianty D. Kusuma?
The Yulianty D. Kusuma is situated at 6413 Waters Ave, in the city of Savannah, state of GA, with the zip code 314062711.
What is the area of specialization for Yulianty D. Kusuma, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Yulianty D. Kusuma is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date was the 1265627145 assigned to Yulianty D. Kusuma?
The Yulianty D. Kusuma was issued its 1265627145 on 2007-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Yulianty D. Kusuma, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Yulianty D. Kusuma, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-08-25.