Gagan Deep Mall in Vacaville - Geriatric Psychiatry
Gagan Deep Mall - NPI 1083714919
Gagan Deep Mall is a Geriatric Psychiatry in Vacaville, California. Gagan Deep Mall practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Gagan Deep Mall is 1083714919. The last update date is 2014-07-27.
Gagan Deep Mall's current location address is 596 Edenderry Dr, Vacaville, California. You can contact this provider via phone number 7073925086 and fax number 7073925086. The mailing address for Gagan Deep Mall is 596 Edenderry Dr, Vacaville, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gagan Deep Mall |
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Address | 596 Edenderry Dr, Vacaville, California |
Phone Number | 7073925086 |
Fax Number | 7073925086 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1083714919 |
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Provider Enumeration Date | 2006-09-22 |
Last Updated Date | 2014-07-27 |
Provider Mailing Address Detail
Address | 596 Edenderry Dr |
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City | Vacaville |
State | California (CA) |
Post Code | 956888560 |
Phone Number | 7073925086 |
Fax Number | 7073925086 |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Psychiatry |
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Taxonomy | 2084P0805X |
Licence No | 22370 |
Definition: Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200091340A | OK | -- | |
1122370 | OK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gagan Deep Mall by the Centers for Medicare & Medicaid Services?
The Gagan Deep Mall has been issued the NPI (National Provider Identifier) 1083714919. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gagan Deep Mall?
The Gagan Deep Mall is situated at 596 Edenderry Dr, in the city of Vacaville, state of CA, with the zip code 956888560.
What is Gagan Deep Mall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gagan Deep Mall is Geriatric Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0805X.
On what date was the 1083714919 assigned to Gagan Deep Mall?
The Gagan Deep Mall was issued its 1083714919 on 2006-09-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Gagan Deep Mall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gagan Deep Mall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-07-27.
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