Kenneth Vereschagin in Santa Clara - Sports Medicine
Kenneth Vereschagin - NPI 1497837785
Kenneth Vereschagin is a Sports Medicine in Santa Clara, California. Kenneth Vereschagin practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Kenneth Vereschagin is 1497837785. The last update date is 2011-12-02.
Kenneth Vereschagin's current location address is 2652 El Camino Real, Santa Clara, California. You can contact this provider via phone number 4085245952. The mailing address for Kenneth Vereschagin is 2652 El Camino Real, Santa Clara, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Vereschagin |
|---|---|
| Address | 2652 El Camino Real, Santa Clara, California |
| Phone Number | 4085245952 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497837785 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2011-12-02 |
Provider Mailing Address Detail
| Address | 2652 El Camino Real |
|---|---|
| City | Santa Clara |
| State | California (CA) |
| Post Code | 950513041 |
| Phone Number | 4085245952 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | G61515 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Vereschagin by the Centers for Medicare & Medicaid Services?
The Kenneth Vereschagin has been issued the NPI (National Provider Identifier) 1497837785, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth Vereschagin's facilities are geographically located?
The facilities of Kenneth Vereschagin are physically situated at the following location: 2652 El Camino Real, Santa Clara, CA, 950513041.
What is Kenneth Vereschagin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Vereschagin's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080S0010X.
When did Kenneth Vereschagin receive its 1497837785 assignment?
The Kenneth Vereschagin was assigned its 1497837785 on 2006-10-19, which is the date when this unique identifier was issued to the organization.
When was the information related to Kenneth Vereschagin most recently updated or refreshed?
The details pertaining to the Kenneth Vereschagin, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-02.