Maya S Pathikonda in Victoria - Pediatrics
Maya S Pathikonda - NPI 1578504619
Maya S Pathikonda is a Pediatrics in Victoria, Texas. Maya S Pathikonda practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Maya S Pathikonda is 1578504619. The last update date is 2010-04-01.
Maya S Pathikonda's current location address is 601 E Airline Rd, Victoria, Texas. You can contact this provider via phone number 3615758500 and fax number 3615758416. The mailing address for Maya S Pathikonda is 601 E Airline Rd, Victoria, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maya S Pathikonda |
|---|---|
| Address | 601 E Airline Rd, Victoria, Texas |
| Phone Number | 3615758500 |
| Fax Number | 3615758416 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578504619 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2010-04-01 |
Provider Mailing Address Detail
| Address | 601 E Airline Rd |
|---|---|
| City | Victoria |
| State | Texas (TX) |
| Post Code | 779013926 |
| Phone Number | 3615758500 |
| Fax Number | 3615758416 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | J8082 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 79684901 | TX | -- | |
| 79684902 | TX | -- | |
| 118369103 | TX | -- | |
| 88070B | TX | INDIVIDUAL BCBS | |
| 742777132 | TX | TAX ID | |
| 0039AZ | TX | GROUP BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Maya S Pathikonda by the Centers for Medicare & Medicaid Services?
The Maya S Pathikonda has been issued the NPI (National Provider Identifier) 1578504619 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Maya S Pathikonda located?
The Maya S Pathikonda is located at 601 E Airline Rd, Victoria, TX 779013926.
What is Maya S Pathikonda'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 Maya S Pathikonda is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Maya S Pathikonda receive its 1578504619 assignment from the Centers for Medicare & Medicaid Services?
The Maya S Pathikonda was assigned its 1578504619 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the details related to Maya S Pathikonda most recently updated or revised?
The information pertaining to Maya S Pathikonda, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-01.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX