Michael A Medeiros in Caruthers - Clinical Neurophysiology
Michael A Medeiros - NPI 1417120866
Michael A Medeiros is a Clinical Neurophysiology in Caruthers, California. Michael A Medeiros practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Michael A Medeiros is 1417120866. The last update date is 2019-12-18.
Michael A Medeiros's current location address is 4032 W Swanson Ave, Caruthers, California. You can contact this provider via phone number 5598566170 and fax number 5598566172. The mailing address for Michael A Medeiros is 4032 W Swanson Ave, Caruthers, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael A Medeiros |
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Address | 4032 W Swanson Ave, Caruthers, California |
Phone Number | 5598566170 |
Fax Number | 5598566172 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1417120866 |
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Provider Enumeration Date | 2008-04-07 |
Last Updated Date | 2019-12-18 |
Provider Mailing Address Detail
Address | 4032 W Swanson Ave |
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City | Caruthers |
State | California (CA) |
Post Code | 936099552 |
Phone Number | 5598566170 |
Fax Number | 5598566172 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neurophysiology |
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Taxonomy | 2084N0600X |
Licence No | 64725 |
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 |
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12583839 | CA | CAQH NUMBER | |
A117400 | CA | LICENSE NUMBER | |
18511 | NV | LICENSE NUMBER |
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What is the unique identification code assigned to Michael A Medeiros by the Centers for Medicare & Medicaid Services?
The Michael A Medeiros has been issued the NPI (National Provider Identifier) 1417120866. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael A Medeiros?
The Michael A Medeiros is physically situated at 4032 W Swanson Ave, in the city of Caruthers, state of CA, with the postal code 936099552.
What is Michael A Medeiros's area of expertise and its corresponding taxonomy classification?
The Michael A Medeiros's field of specialization is Clinical Neurophysiology, and it falls under the taxonomy code 2084N0600X, which categorizes healthcare providers based on their areas of practice.
On what date did the Michael A Medeiros receive the assignment of its 1417120866 from the Centers for Medicare & Medicaid Services?
The Michael A Medeiros was issued its 1417120866 by the Centers for Medicare & Medicaid Services on 2008-04-07.
As of what date were the details related to Michael A Medeiros most recently updated or revised?
The information pertaining to Michael A Medeiros, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-18.
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