Jilly Kunjunny Vidyasagaran in Pasadena - Pediatrics
Jilly Kunjunny Vidyasagaran - NPI 1629034103
Jilly Kunjunny Vidyasagaran is a Pediatrics in Pasadena, Texas. Jilly Kunjunny Vidyasagaran practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jilly Kunjunny Vidyasagaran is 1629034103. The last update date is 2011-11-29.
Jilly Kunjunny Vidyasagaran's current location address is 4024 Brookhaven Ave, Pasadena, Texas. You can contact this provider via phone number 7139442324 and fax number 7139441539. The mailing address for Jilly Kunjunny Vidyasagaran is 4024 Brookhaven Ave, Pasadena, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jilly Kunjunny Vidyasagaran |
|---|---|
| Address | 4024 Brookhaven Ave, Pasadena, Texas |
| Phone Number | 7139442324 |
| Fax Number | 7139441539 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629034103 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2011-11-29 |
Provider Mailing Address Detail
| Address | 4024 Brookhaven Ave |
|---|---|
| City | Pasadena |
| State | Texas (TX) |
| Post Code | 775041902 |
| Phone Number | 7139442324 |
| Fax Number | 7139441539 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | J2829 |
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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 |
|---|---|---|---|
| 1270928-05 | TX | THSTEPS | |
| 1270928-03 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jilly Kunjunny Vidyasagaran?
The Jilly Kunjunny Vidyasagaran has been issued the NPI (National Provider Identifier) 1629034103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jilly Kunjunny Vidyasagaran?
The Jilly Kunjunny Vidyasagaran is physically situated at 4024 Brookhaven Ave, in the city of Pasadena, state of TX, with the postal code 775041902.
What is Jilly Kunjunny Vidyasagaran'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 Jilly Kunjunny Vidyasagaran is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Jilly Kunjunny Vidyasagaran receive its 1629034103 assignment from the Centers for Medicare & Medicaid Services?
The Jilly Kunjunny Vidyasagaran was assigned its 1629034103 by the Centers for Medicare & Medicaid Services on 2006-04-25.
As of what date were the details related to Jilly Kunjunny Vidyasagaran most recently updated or revised?
The information pertaining to Jilly Kunjunny Vidyasagaran, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-29.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI