Kanekal Suresh Gautham in Jacksonville - Neonatal-perinatal Medicine
Kanekal Suresh Gautham - NPI 1972611911
Kanekal Suresh Gautham is a Neonatal-perinatal Medicine in Jacksonville, Florida. Kanekal Suresh Gautham practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Kanekal Suresh Gautham is 1972611911. The last update date is 2021-09-28.
Kanekal Suresh Gautham's current location address is 10140 Centurion Pkwy N, Jacksonville, Florida. You can contact this provider via phone number 9046974127. The mailing address for Kanekal Suresh Gautham is 10140 Centurion Pkwy N, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kanekal Suresh Gautham |
|---|---|
| Address | 10140 Centurion Pkwy N, Jacksonville, Florida |
| Phone Number | 9046974127 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MBBS, MD, |
NPI Number Detail
| NPI Number | 1972611911 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2021-09-28 |
Provider Mailing Address Detail
| Address | 10140 Centurion Pkwy N |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322560532 |
| Phone Number | 9046974127 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal-perinatal Medicine |
|---|---|
| Taxonomy | 2080N0001X |
| Licence No | TL26586 |
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Definition: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110863200 | FL | -- | |
| Q09841 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kanekal Suresh Gautham by the Centers for Medicare & Medicaid Services?
The Kanekal Suresh Gautham has been assigned the NPI (National Provider Identifier) 1972611911. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kanekal Suresh Gautham is geographically located?
The Kanekal Suresh Gautham is physically situated at the following location: 10140 Centurion Pkwy N, Jacksonville, FL, 322560532.
What is Kanekal Suresh Gautham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kanekal Suresh Gautham is Neonatal-perinatal Medicine, and the corresponding taxonomy classification code for this specialized field is 2080N0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972611911 to Kanekal Suresh Gautham?
The Kanekal Suresh Gautham received its 1972611911 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the details pertaining to Kanekal Suresh Gautham last refreshed?
The information related to the Kanekal Suresh Gautham, including its address, specialty, and other relevant details, was last updated on 2021-09-28.