Jisha Philip is a Psychiatry in Bridgeport, Connecticut. Jisha Philip practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jisha Philip is 1194863852. The last update date is 2012-01-05.
Jisha Philip's current location address is 968 Fairfield Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2033326000. The mailing address for Jisha Philip is 968 Fairfield Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jisha Philip |
|---|---|
| Address | 968 Fairfield Ave, Bridgeport, Connecticut |
| Phone Number | 2033326000 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1194863852 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2012-01-05 |
Provider Mailing Address Detail
| Address | 968 Fairfield Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66051116 |
| Phone Number | 2033326000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 48331 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4236148 | CT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jisha Philip by the Centers for Medicare & Medicaid Services?
The Jisha Philip has been issued the NPI (National Provider Identifier) 1194863852. 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 street address where Jisha Philip is physically located?
The Jisha Philip is physically situated at the following address: 968 Fairfield Ave, Bridgeport, CT, 66051116.
What is Jisha Philip's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jisha Philip is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194863852 to Jisha Philip?
The Jisha Philip received its 1194863852 assignment from the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the Jisha Philip's information last updated?
The Jisha Philip's information was last updated on 2012-01-05.