Indu Mago Sud is a Addiction Medicine in Ashton, Maryland. Indu Mago Sud practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Indu Mago Sud is 1174634869. The last update date is 2021-10-27.
Indu Mago Sud's current location address is 17958 Pond Rd, Ashton, Maryland. You can contact this provider via phone number 3017741987. The mailing address for Indu Mago Sud is 17958 Pond Rd, Ashton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Indu Mago Sud |
|---|---|
| Address | 17958 Pond Rd, Ashton, Maryland |
| Phone Number | 3017741987 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174634869 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2021-10-27 |
Provider Mailing Address Detail
| Address | 17958 Pond Rd |
|---|---|
| City | Ashton |
| State | Maryland (MD) |
| Post Code | 208619756 |
| Phone Number | 3017741987 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | D0020769 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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What is the unique 10-digit identification code assigned to Indu Mago Sud by the Centers for Medicare & Medicaid Services?
The Indu Mago Sud has been issued the NPI (National Provider Identifier) 1174634869, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Indu Mago Sud is physically located?
The Indu Mago Sud is situated at the following address: 17958 Pond Rd, Ashton, MD 208619756.
What is Indu Mago Sud's specialized field of practice, and what is the corresponding taxonomy classification code?
The Indu Mago Sud's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084A0401X.
On what date was the 1174634869 assigned to Indu Mago Sud?
The Indu Mago Sud was issued its 1174634869 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Indu Mago Sud most recently updated?
The details pertaining to the Indu Mago Sud, including its address, specialty, and other relevant information, were last refreshed on 2021-10-27.
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