Jaagmd in Campbell - Clinical Neurophysiology

Jaagmd - NPI 1750301271

Jaagmd is a Clinical Neurophysiology in Campbell, California. Jaagmd practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Jaagmd is 1750301271. The last update date is 2020-08-22.

Jaagmd's current location address is 94 Amato Ave, Campbell, California. You can contact this provider via phone number 4083784434 and fax number 4082451305. The mailing address for Jaagmd is 94 Amato Ave, Campbell, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jaagmd
Address 94 Amato Ave, Campbell, California
Phone Number 4083784434
Fax Number 4082451305
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Anagnos Angela
Credentials M.D.
Telephone Number 4083784434

NPI Number Detail

NPI Number 1750301271
Provider Enumeration Date 2006-07-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 94 Amato Ave
City Campbell
State California (CA)
Post Code 950081805
Phone Number 4083784434
Fax Number 4082451305

Provider's Primary Taxonomy Detail

Speciality Clinical Neurophysiology
Taxonomy 2084N0600X
Licence No G830270
Definition:
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G830270 CA BLUE SHIELD
00G830271 CA BLUE SHIELD

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FAQs about Jaagmd

What is the unique 10-digit identification code issued to Jaagmd by the Centers for Medicare & Medicaid Services?

The Jaagmd has been assigned the NPI (National Provider Identifier) 1750301271 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Jaagmd's physical address?

The Jaagmd is physically located at 94 Amato Ave, in the city of Campbell, CA, with the postal code 950081805.

What is the area of specialization for Jaagmd, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jaagmd is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0600X.

On what date did the Jaagmd receive its 1750301271 assignment from the Centers for Medicare & Medicaid Services?

The Jaagmd was assigned its 1750301271 by the Centers for Medicare & Medicaid Services on 2006-07-20.

As of what date were the Jaagmd's details last updated?

The information pertaining to the Jaagmd, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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