Nagabhushana Siddappa Malakkla in Fresno - Adolescent Medicine

Nagabhushana Siddappa Malakkla - NPI 1326149006

Nagabhushana Siddappa Malakkla is a Adolescent Medicine in Fresno, California. Nagabhushana Siddappa Malakkla practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Nagabhushana Siddappa Malakkla is 1326149006. The last update date is 2007-07-08.

Nagabhushana Siddappa Malakkla's current location address is 2615 East Clinton Ave, Fresno, California. You can contact this provider via phone number 5592256100 and fax number 5592285377. The mailing address for Nagabhushana Siddappa Malakkla is 2615 East Clinton Ave, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nagabhushana Siddappa Malakkla
Address 2615 East Clinton Ave, Fresno, California
Phone Number 5592256100
Fax Number 5592285377
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1326149006
Provider Enumeration Date 2006-09-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2615 East Clinton Ave
City Fresno
State California (CA)
Post Code 93703
Phone Number 5592256100
Fax Number 5592285377

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Ra0000X
Licence No C50513
Definition:
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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FAQs about Nagabhushana Siddappa Malakkla

What is the unique 10-digit identifier code assigned to Nagabhushana Siddappa Malakkla by the Centers for Medicare & Medicaid Services?

The Nagabhushana Siddappa Malakkla has been issued the NPI (National Provider Identifier) 1326149006 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Nagabhushana Siddappa Malakkla's facilities are geographically located?

The facilities of Nagabhushana Siddappa Malakkla are physically situated at the following location: 2615 East Clinton Ave, Fresno, CA, 93703.

What is Nagabhushana Siddappa Malakkla's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nagabhushana Siddappa Malakkla's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Ra0000X.

When did the Nagabhushana Siddappa Malakkla receive its 1326149006?

The Nagabhushana Siddappa Malakkla was issued its 1326149006 on 2006-09-26, which is the date when the organization was assigned this unique identifier.

When was the Nagabhushana Siddappa Malakkla's information last updated?

The Nagabhushana Siddappa Malakkla's information was last updated on 2007-07-08.

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