Ian Charles Michelow in Providence - Pediatric Infectious Diseases
Ian Charles Michelow - NPI 1386634756
Ian Charles Michelow is a Pediatric Infectious Diseases in Providence, Rhode Island. Ian Charles Michelow practices all healthcare services and medical treatments related to Pediatric Infectious Diseases. The NPI Number for Ian Charles Michelow is 1386634756. The last update date is 2022-09-15.
Ian Charles Michelow's current location address is 593 Eddy St, Providence, Rhode Island. You can contact this provider via phone number 4014448360 and fax number 4014445650. The mailing address for Ian Charles Michelow is 593 Eddy St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ian Charles Michelow |
|---|---|
| Address | 593 Eddy St, Providence, Rhode Island |
| Phone Number | 4014448360 |
| Fax Number | 4014445650 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386634756 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2022-09-15 |
Provider Mailing Address Detail
| Address | 593 Eddy St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29034923 |
| Phone Number | 4014448360 |
| Fax Number | 4014445650 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Infectious Diseases |
|---|---|
| Taxonomy | 2080P0208X |
| Licence No | MD13482 |
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Definition: A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying disea |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J26918 | MA | BCBS MA | |
| MD13482 | RI | LICENSE | |
| 468557 | MA | TUFTS HEALTH PLAN | |
| 2026091 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ian Charles Michelow by the Centers for Medicare & Medicaid Services?
The Ian Charles Michelow has been assigned the NPI (National Provider Identifier) 1386634756 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Ian Charles Michelow's physical address?
The Ian Charles Michelow is physically located at 593 Eddy St, in the city of Providence, RI, with the postal code 29034923.
What is the area of specialization for Ian Charles Michelow, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ian Charles Michelow is Pediatric Infectious Diseases, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0208X.
On what date did Ian Charles Michelow receive its 1386634756 assignment from the Centers for Medicare & Medicaid Services?
The Ian Charles Michelow was assigned its 1386634756 on 2005-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ian Charles Michelow most recently updated or revised?
The information pertaining to Ian Charles Michelow, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-15.