John Mathew Edavettal in Lafayette - Interventional Cardiology

John Mathew Edavettal - NPI 1558333617

John Mathew Edavettal is a Interventional Cardiology in Lafayette, Louisiana. John Mathew Edavettal practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for John Mathew Edavettal is 1558333617. The last update date is 2019-05-23.

John Mathew Edavettal's current location address is 441 Heymann Blvd, Lafayette, Louisiana. You can contact this provider via phone number 3372898429 and fax number 3372898431. The mailing address for John Mathew Edavettal is 441 Heymann Blvd, Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John Mathew Edavettal
Address 441 Heymann Blvd, Lafayette, Louisiana
Phone Number 3372898429
Fax Number 3372898431
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558333617
Provider Enumeration Date 2006-02-03
Last Updated Date 2019-05-23

Provider Mailing Address Detail

Address 441 Heymann Blvd
City Lafayette
State Louisiana (LA)
Post Code 705032611
Phone Number 3372898429
Fax Number 3372898431

Provider's Primary Taxonomy Detail

Speciality Interventional Cardiology
Taxonomy 207Ri0011X
Licence No 21589
Definition:
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
205241001 AR --

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FAQs about John Mathew Edavettal

What is the unique 10-digit identifier code issued to John Mathew Edavettal by the Centers for Medicare & Medicaid Services?

The John Mathew Edavettal has been assigned the NPI (National Provider Identifier) 1558333617 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where John Mathew Edavettal's facilities are geographically located?

The facilities of John Mathew Edavettal are physically situated at the following location: 441 Heymann Blvd, Lafayette, LA, 705032611.

What is John Mathew Edavettal's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Mathew Edavettal's specialized field of practice is Interventional Cardiology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ri0011X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558333617 to John Mathew Edavettal?

The John Mathew Edavettal received its 1558333617 assignment from the Centers for Medicare & Medicaid Services on 2006-02-03.

As of what date were the details related to John Mathew Edavettal most recently updated or revised?

The information pertaining to John Mathew Edavettal, including its address, specialty, and other relevant details, was last updated or revised on 2019-05-23.

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