Angela Graeber in Jackson - Diagnostic Radiology

Angela Graeber - NPI 1447451349

Angela Graeber is a Diagnostic Radiology in Jackson, Mississippi. Angela Graeber practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Angela Graeber is 1447451349. The last update date is 2014-04-01.

Angela Graeber's current location address is 2500 N State Street, Jackson, Mississippi. You can contact this provider via phone number 6019842538 and fax number 6018151854. The mailing address for Angela Graeber is 2500 N State Street, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela Graeber
Address 2500 N State Street, Jackson, Mississippi
Phone Number 6019842538
Fax Number 6018151854
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1447451349
Provider Enumeration Date 2007-05-29
Last Updated Date 2014-04-01

Provider Mailing Address Detail

Address 2500 N State Street
City Jackson
State Mississippi (MS)
Post Code 39216
Phone Number 6019842538
Fax Number 6018151854

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 11360
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P004622007 MS RAILROAD MEDICARE
8603769 MS --
1025429 LA --
P00436435 MS RAILROAD MEDICARE
P01168130 MS RR MEDICARE PTAN
157418 AL --

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FAQs about Angela Graeber

What is the Angela Graeber's unique identification number?

The Angela Graeber has been assigned the NPI (National Provider Identifier) Number 1447451349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Angela Graeber's facilities are geographically located?

The facilities of Angela Graeber are physically situated at the following location: 2500 N State Street, Jackson, MS, 39216.

What is Angela Graeber's area of expertise and its corresponding taxonomy classification?

The Angela Graeber's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.

When did the Angela Graeber receive its 1447451349?

The Angela Graeber was issued its 1447451349 on 2007-05-29, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Angela Graeber most recently updated or revised?

The information pertaining to Angela Graeber, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-01.

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