Antonius Su is a Podiatrist in Chandler, Arizona. Antonius Su practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Antonius Su is 1891783775. The last update date is 2021-02-03.
Antonius Su's current location address is 595 N Dobson Rd, Chandler, Arizona. You can contact this provider via phone number 4809639000 and fax number 4809630375. The mailing address for Antonius Su is 595 N Dobson Rd, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antonius Su |
|---|---|
| Address | 595 N Dobson Rd, Chandler, Arizona |
| Phone Number | 4809639000 |
| Fax Number | 4809630375 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1891783775 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2021-02-03 |
Provider Mailing Address Detail
| Address | 595 N Dobson Rd |
|---|---|
| City | Chandler |
| State | Arizona (AZ) |
| Post Code | 852244226 |
| Phone Number | 4809639000 |
| Fax Number | 4809630375 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 496 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1Z2392 | AZ | HEALTHNET | |
| 139148 | AZ | -- | |
| AZ0193890 | AZ | BLUE CROSS BLUE SHIELD |
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What is the unique identification code assigned to Antonius Su by the Centers for Medicare & Medicaid Services?
The Antonius Su has been issued the NPI (National Provider Identifier) 1891783775. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Antonius Su is geographically located?
The Antonius Su is physically situated at the following location: 595 N Dobson Rd, Chandler, AZ, 852244226.
What is Antonius Su's area of expertise and its corresponding taxonomy classification?
The Antonius Su's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Antonius Su receive the assignment of its 1891783775 from the Centers for Medicare & Medicaid Services?
The Antonius Su was issued its 1891783775 by the Centers for Medicare & Medicaid Services on 2005-10-13.
As of what date were the Antonius Su's details last updated?
The information pertaining to the Antonius Su, including its address, specialty, and other details, was most recently updated on 2021-02-03.