Sudha A Russell is a Pediatrics in Santa Maria, California. Sudha A Russell practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sudha A Russell is 1528037892. The last update date is 2021-08-12.
Sudha A Russell's current location address is 1835 N Broadway, Santa Maria, California. You can contact this provider via phone number 8053453701 and fax number 8053453745. The mailing address for Sudha A Russell is 1835 N Broadway, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sudha A Russell |
|---|---|
| Address | 1835 N Broadway, Santa Maria, California |
| Phone Number | 8053453701 |
| Fax Number | 8053453745 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528037892 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2021-08-12 |
Provider Mailing Address Detail
| Address | 1835 N Broadway |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 934541404 |
| Phone Number | 8053453701 |
| Fax Number | 8053453745 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | G54900 |
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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 |
|---|---|---|---|
| 10100 | FL | BCBS PROVIDER # | |
| 57297799 | FL | -- |
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What is the unique identification code assigned to Sudha A Russell by the Centers for Medicare & Medicaid Services?
The Sudha A Russell has been issued the NPI (National Provider Identifier) 1528037892. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sudha A Russell?
The Sudha A Russell is situated at 1835 N Broadway, in the city of Santa Maria, state of CA, with the zip code 934541404.
What is Sudha A Russell'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 Sudha A Russell is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528037892 to Sudha A Russell?
The Centers for Medicare & Medicaid Services assigned the 1528037892 to Sudha A Russell on 2006-03-17.
When was the information regarding Sudha A Russell most recently updated?
The details pertaining to the Sudha A Russell, including its address, specialty, and other relevant information, were last refreshed on 2021-08-12.
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