Darryl Fernandes in Normal - Colon & Rectal Surgery
Darryl Fernandes - NPI 1336186113
Darryl Fernandes is a Colon & Rectal Surgery in Normal, Illinois. Darryl Fernandes practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Darryl Fernandes is 1336186113. The last update date is 2012-10-10.
Darryl Fernandes's current location address is 1300 Franklin Ave Ste 210, Normal, Illinois. You can contact this provider via phone number 3094521193 and fax number 3094521349. The mailing address for Darryl Fernandes is 1300 Franklin Ave Ste 210, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darryl Fernandes |
|---|---|
| Address | 1300 Franklin Ave Ste 210, Normal, Illinois |
| Phone Number | 3094521193 |
| Fax Number | 3094521349 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336186113 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2012-10-10 |
Provider Mailing Address Detail
| Address | 1300 Franklin Ave Ste 210 |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617613588 |
| Phone Number | 3094521193 |
| Fax Number | 3094521349 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 36108683 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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What is the unique 10-digit identifier code assigned to Darryl Fernandes by the Centers for Medicare & Medicaid Services?
The Darryl Fernandes has been issued the NPI (National Provider Identifier) 1336186113 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Darryl Fernandes's physical address?
The Darryl Fernandes is physically located at 1300 Franklin Ave Ste 210, in the city of Normal, IL, with the postal code 617613588.
What is Darryl Fernandes's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Darryl Fernandes's specialized field of practice is Colon & Rectal Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208C00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336186113 to Darryl Fernandes?
The Darryl Fernandes received its 1336186113 assignment from the Centers for Medicare & Medicaid Services on 2006-06-01.
As of what date were the Darryl Fernandes's details last updated?
The information pertaining to the Darryl Fernandes, including its address, specialty, and other details, was most recently updated on 2012-10-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY