Jose Penagaricano in Little Rock - Radiation Oncology

Jose Penagaricano - NPI 1669556684

Jose Penagaricano is a Radiation Oncology in Little Rock, Arkansas. Jose Penagaricano practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Jose Penagaricano is 1669556684. The last update date is 2008-01-07.

Jose Penagaricano's current location address is 4301 W Markham St # 783, Little Rock, Arkansas. You can contact this provider via phone number 5016868000. The mailing address for Jose Penagaricano is 4301 W Markham St # 783, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose Penagaricano
Address 4301 W Markham St # 783, Little Rock, Arkansas
Phone Number 5016868000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1669556684
Provider Enumeration Date 2006-10-25
Last Updated Date 2008-01-07

Provider Mailing Address Detail

Address 4301 W Markham St # 783
City Little Rock
State Arkansas (AR)
Post Code 722057101
Phone Number 5016868000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No E-2813
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19222000000 AR QUALCHOICE
P00020508 AR RAILROAD MEDICARE1
5L747 AR BCBS

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FAQs about Jose Penagaricano

What is the unique identifier code issued to Jose Penagaricano by the Centers for Medicare & Medicaid Services?

The Jose Penagaricano has been assigned the NPI (National Provider Identifier) 1669556684. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jose Penagaricano is physically located?

The Jose Penagaricano is situated at the following address: 4301 W Markham St # 783, Little Rock, AR 722057101.

What is Jose Penagaricano's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jose Penagaricano is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.

When did the Jose Penagaricano receive its 1669556684?

The Jose Penagaricano was issued its 1669556684 on 2006-10-25, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Jose Penagaricano most recently updated or revised?

The information pertaining to Jose Penagaricano, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-07.

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