Desilva Medical Services Llc in Hazelwood - Adolescent Medicine
Desilva Medical Services Llc - NPI 1184757072
Desilva Medical Services Llc is a Adolescent Medicine in Hazelwood, Missouri. Desilva Medical Services Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Desilva Medical Services Llc is 1184757072. The last update date is 2020-08-22.
Desilva Medical Services Llc's current location address is 6308 Hazelwest Ct, Hazelwood, Missouri. You can contact this provider via phone number 3147315555 and fax number 3147315558. The mailing address for Desilva Medical Services Llc is 6308 Hazelwest Ct, Hazelwood, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Desilva Medical Services Llc |
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Address | 6308 Hazelwest Ct, Hazelwood, Missouri |
Phone Number | 3147315555 |
Fax Number | 3147315558 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
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Authorized Official Name | Desilva Ananda |
Credentials | M.D. |
Telephone Number | 3147315555 |
NPI Number Detail
NPI Number | 1184757072 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 6308 Hazelwest Ct |
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City | Hazelwood |
State | Missouri (MO) |
Post Code | 630421739 |
Phone Number | 3147315555 |
Fax Number | 3147315558 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Ra0000X |
Licence No | R9845 |
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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What is the unique identifier code issued to Desilva Medical Services Llc by the Centers for Medicare & Medicaid Services?
The Desilva Medical Services Llc has been assigned the NPI (National Provider Identifier) 1184757072. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Desilva Medical Services Llc is located?
The Desilva Medical Services Llc is situated at the following address: 6308 Hazelwest Ct, Hazelwood, MO, 630421739.
What is Desilva Medical Services Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Desilva Medical Services Llc is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Ra0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184757072 to Desilva Medical Services Llc?
The Centers for Medicare & Medicaid Services originally issued the 1184757072 to Desilva Medical Services Llc on 2007-03-13.
As of what date was the information regarding Desilva Medical Services Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Desilva Medical Services Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.