Michael Russell Tekautz in Modesto - Body Imaging
Michael Russell Tekautz - NPI 1821033861
Michael Russell Tekautz is a Body Imaging in Modesto, California. Michael Russell Tekautz practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Michael Russell Tekautz is 1821033861. The last update date is 2008-08-12.
Michael Russell Tekautz's current location address is 1524 Mchenry Ave, Modesto, California. You can contact this provider via phone number 2095774444 and fax number 2095272069. The mailing address for Michael Russell Tekautz is 1524 Mchenry Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Russell Tekautz |
|---|---|
| Address | 1524 Mchenry Ave, Modesto, California |
| Phone Number | 2095774444 |
| Fax Number | 2095272069 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821033861 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 1524 Mchenry Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504500 |
| Phone Number | 2095774444 |
| Fax Number | 2095272069 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | G42730 |
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Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G427300 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Russell Tekautz by the Centers for Medicare & Medicaid Services?
The Michael Russell Tekautz has been issued the NPI (National Provider Identifier) 1821033861, which 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 Russell Tekautz?
The Michael Russell Tekautz is physically situated at 1524 Mchenry Ave, in the city of Modesto, state of CA, with the postal code 953504500.
What is Michael Russell Tekautz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Russell Tekautz is Body Imaging, and the taxonomy code that categorizes this field of expertise is 2085B0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821033861 to Michael Russell Tekautz?
The Centers for Medicare & Medicaid Services assigned the 1821033861 to Michael Russell Tekautz on 2006-06-16.
As of what date was the information pertaining to Michael Russell Tekautz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Russell Tekautz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-12.