Michael Petruschak in Chesapeake - Diagnostic Radiology
Michael Petruschak - NPI 1053328658
Michael Petruschak is a Diagnostic Radiology in Chesapeake, Virginia. Michael Petruschak practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Michael Petruschak is 1053328658. The last update date is 2007-07-08.
Michael Petruschak's current location address is Po Box 1707, Chesapeake, Virginia. You can contact this provider via phone number 7573660101 and fax number 7573668792. The mailing address for Michael Petruschak is Po Box 1707, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Petruschak |
|---|---|
| Address | Po Box 1707, Chesapeake, Virginia |
| Phone Number | 7573660101 |
| Fax Number | 7573668792 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053328658 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1707 |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233271707 |
| Phone Number | 7573660101 |
| Fax Number | 7573668792 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 101237966 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1011237966 | VA | MEDICAL LICENSE | |
| 10159156 | VA | -- |
Post Comment/ Review Below
What is the Michael Petruschak's unique identification number?
The Michael Petruschak has been assigned the NPI (National Provider Identifier) Number 1053328658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Michael Petruschak is physically located?
The Michael Petruschak is situated at the following address: Po Box 1707, Chesapeake, VA 233271707.
What is Michael Petruschak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Petruschak is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Michael Petruschak receive its 1053328658 assignment from the Centers for Medicare & Medicaid Services?
The Michael Petruschak was assigned its 1053328658 by the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date was the information pertaining to Michael Petruschak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Petruschak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.