Patricio A. Ilabaca, Md, Pc in Memphis - Vascular Surgery
Patricio A. Ilabaca, Md, Pc - NPI 1386744514
Patricio A. Ilabaca, Md, Pc is a Vascular Surgery in Memphis, Tennessee. Patricio A. Ilabaca, Md, Pc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Patricio A. Ilabaca, Md, Pc is 1386744514. The last update date is 2010-10-18.
Patricio A. Ilabaca, Md, Pc's current location address is 6027 Walnut Grove Rd, Memphis, Tennessee. You can contact this provider via phone number 9016836161 and fax number 9016837998. The mailing address for Patricio A. Ilabaca, Md, Pc is 6027 Walnut Grove Rd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Patricio A. Ilabaca, Md, Pc |
|---|---|
| Address | 6027 Walnut Grove Rd, Memphis, Tennessee |
| Phone Number | 9016836161 |
| Fax Number | 9016837998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ilabaca A. Patricio |
| Credentials | MD |
| Telephone Number | 9016836161 |
NPI Number Detail
| NPI Number | 1386744514 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2010-10-18 |
Provider Mailing Address Detail
| Address | 6027 Walnut Grove Rd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381202145 |
| Phone Number | 9016836161 |
| Fax Number | 9016837998 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 9582 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3171424 | TN | -- | |
| 9015252 | AR | -- |
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What is the unique identifier code issued to Patricio A. Ilabaca, Md, Pc by the Centers for Medicare & Medicaid Services?
The Patricio A. Ilabaca, Md, Pc has been assigned the NPI (National Provider Identifier) 1386744514. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Patricio A. Ilabaca, Md, Pc located?
The Patricio A. Ilabaca, Md, Pc is located at 6027 Walnut Grove Rd, Memphis, TN 381202145.
What is Patricio A. Ilabaca, Md, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Patricio A. Ilabaca, Md, Pc is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.
On what date was the 1386744514 assigned to Patricio A. Ilabaca, Md, Pc?
The Patricio A. Ilabaca, Md, Pc was issued its 1386744514 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Patricio A. Ilabaca, Md, Pc most recently updated or revised?
The details related to Patricio A. Ilabaca, Md, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2010-10-18.
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