Suresh N Pathikonda in Victoria - Pediatrics

Suresh N Pathikonda - NPI 1508804121

Suresh N Pathikonda is a Pediatrics in Victoria, Texas. Suresh N Pathikonda practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Suresh N Pathikonda is 1508804121. The last update date is 2010-04-01.

Suresh N 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 Suresh N Pathikonda is 601 E Airline Rd, Victoria, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Suresh N 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 1508804121
Provider Enumeration Date 2006-06-04
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 J8083
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0039AZ TX GROUP BCBS
79684901 TX --
127014205 TX --
79684902 TX --
127014203 TX --
742777132 TX TAX ID
88071B TX INDIVIDUAL BCBS

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FAQs about Suresh N Pathikonda

What is the unique 10-digit identification code issued to Suresh N Pathikonda by the Centers for Medicare & Medicaid Services?

The Suresh N Pathikonda has been assigned the NPI (National Provider Identifier) 1508804121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Suresh N Pathikonda's physical address?

The Suresh N Pathikonda is physically located at 601 E Airline Rd, in the city of Victoria, TX, with the postal code 779013926.

What is Suresh N Pathikonda's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Suresh N Pathikonda is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508804121 to Suresh N Pathikonda?

The Centers for Medicare & Medicaid Services originally issued the 1508804121 to Suresh N Pathikonda on 2006-06-04.

As of what date was the information regarding Suresh N Pathikonda, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Suresh N Pathikonda, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-01.

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