Boby G Theckedath in Milwaukee - Endocrinology, Diabetes & Metabolism

Boby G Theckedath - NPI 1194788315

Boby G Theckedath is a Endocrinology, Diabetes & Metabolism in Milwaukee, Wisconsin. Boby G Theckedath practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Boby G Theckedath is 1194788315. The last update date is 2023-01-30.

Boby G Theckedath's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 2628844000 and fax number 2628844177. The mailing address for Boby G Theckedath is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Boby G Theckedath
Address 3301 W Forest Home Ave, Milwaukee, Wisconsin
Phone Number 2628844000
Fax Number 2628844177
Sole Proprietor N
Credentials M.D

NPI Number Detail

NPI Number 1194788315
Provider Enumeration Date 2006-04-10
Last Updated Date 2023-01-30

Provider Mailing Address Detail

Address 3301 W Forest Home Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532152843
Phone Number 2628844000
Fax Number 2628844177

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Licence No 38387
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100216167 WI --
64096845 KY --

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FAQs about Boby G Theckedath

What is the Boby G Theckedath's unique identification number?

The Boby G Theckedath has been assigned the NPI (National Provider Identifier) Number 1194788315 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Boby G Theckedath is located?

The Boby G Theckedath is situated at the following address: 3301 W Forest Home Ave, Milwaukee, WI, 532152843.

What is the Boby G Theckedath's specialty and taxonomy code?

The Boby G Theckedath's specialty is Endocrinology, Diabetes & Metabolism, and the corresponding taxonomy code is 207Re0101X.

When did the Boby G Theckedath receive its 1194788315?

The Boby G Theckedath was issued its 1194788315 on 2006-04-10, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Boby G Theckedath, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Boby G Theckedath, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-01-30.

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