Michael A Dedekian in Portland - Pediatric Endocrinology
Michael A Dedekian - NPI 1093781254
Michael A Dedekian is a Pediatric Endocrinology in Portland, Maine. Michael A Dedekian practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Michael A Dedekian is 1093781254. The last update date is 2011-01-04.
Michael A Dedekian's current location address is 887 Congress St, Portland, Maine. You can contact this provider via phone number 2076625522 and fax number 2076625527. The mailing address for Michael A Dedekian is 887 Congress St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael A Dedekian |
|---|---|
| Address | 887 Congress St, Portland, Maine |
| Phone Number | 2076625522 |
| Fax Number | 2076625527 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093781254 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2011-01-04 |
Provider Mailing Address Detail
| Address | 887 Congress St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 4102 |
| Phone Number | 2076625522 |
| Fax Number | 2076625527 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | 17981 |
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Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30208479 | NH | -- | |
| 433775099 | ME | -- | |
| 2110318 | MA | -- |
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What is the unique 10-digit identification code issued to Michael A Dedekian by the Centers for Medicare & Medicaid Services?
The Michael A Dedekian has been assigned the NPI (National Provider Identifier) 1093781254 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Michael A Dedekian's physical address?
The Michael A Dedekian is physically located at 887 Congress St, in the city of Portland, ME, with the postal code 4102.
What is Michael A Dedekian's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael A Dedekian's area of specialization is Pediatric Endocrinology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0205X.
On what date did the Michael A Dedekian receive its 1093781254 assignment from the Centers for Medicare & Medicaid Services?
The Michael A Dedekian was assigned its 1093781254 by the Centers for Medicare & Medicaid Services on 2006-02-27.
As of what date was the information regarding Michael A Dedekian, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael A Dedekian, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-04.