Adelina B Stateva in Lakeport - Podiatrist
Adelina B Stateva - NPI 1477588549
Adelina B Stateva is a Podiatrist in Lakeport, California. Adelina B Stateva practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Adelina B Stateva is 1477588549. The last update date is 2014-04-10.
Adelina B Stateva's current location address is 175 Park St, Lakeport, California. You can contact this provider via phone number 7072639595 and fax number 7072635576. The mailing address for Adelina B Stateva is 175 Park St, Lakeport, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adelina B Stateva |
|---|---|
| Address | 175 Park St, Lakeport, California |
| Phone Number | 7072639595 |
| Fax Number | 7072635576 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1477588549 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2014-04-10 |
Provider Mailing Address Detail
| Address | 175 Park St |
|---|---|
| City | Lakeport |
| State | California (CA) |
| Post Code | 954534803 |
| Phone Number | 7072639595 |
| Fax Number | 7072635576 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E4562 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique identifier code issued to Adelina B Stateva by the Centers for Medicare & Medicaid Services (CMS)?
The Adelina B Stateva has been assigned the NPI (National Provider Identifier) 1477588549. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Adelina B Stateva is physically located?
The Adelina B Stateva is situated at the following address: 175 Park St, Lakeport, CA 954534803.
What is Adelina B Stateva's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Adelina B Stateva is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477588549 to Adelina B Stateva?
The Centers for Medicare & Medicaid Services originally issued the 1477588549 to Adelina B Stateva on 2006-07-11.
As of what date were the Adelina B Stateva's details last updated?
The information pertaining to the Adelina B Stateva, including its address, specialty, and other details, was most recently updated on 2014-04-10.