Suresha Basavanayak in Rancho Cucamonga - Speech-language Pathologist
Suresha Basavanayak - NPI 1114126414
Suresha Basavanayak is a Speech-language Pathologist in Rancho Cucamonga, California. Suresha Basavanayak practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Suresha Basavanayak is 1114126414. The last update date is 2007-07-16.
Suresha Basavanayak's current location address is 7440 Hyssop Dr, Rancho Cucamonga, California. You can contact this provider via phone number 9094810277. The mailing address for Suresha Basavanayak is 7440 Hyssop Dr, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suresha Basavanayak |
|---|---|
| Address | 7440 Hyssop Dr, Rancho Cucamonga, California |
| Phone Number | 9094810277 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS CCC-SLP |
NPI Number Detail
| NPI Number | 1114126414 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 7440 Hyssop Dr |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917399740 |
| Phone Number | 9094810277 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 13911 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13911 | CA | LICENCING BOARD |
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What is the unique identifier code issued to Suresha Basavanayak by the Centers for Medicare & Medicaid Services?
The Suresha Basavanayak has been assigned the NPI (National Provider Identifier) 1114126414. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Suresha Basavanayak?
The Suresha Basavanayak is situated at 7440 Hyssop Dr, in the city of Rancho Cucamonga, state of CA, with the zip code 917399740.
What is the Suresha Basavanayak's area of specialization and corresponding taxonomy classification?
The Suresha Basavanayak's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When did the Suresha Basavanayak receive its 1114126414?
The Suresha Basavanayak was issued its 1114126414 on 2007-07-16, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Suresha Basavanayak last refreshed?
The information related to the Suresha Basavanayak, including its address, specialty, and other relevant details, was last updated on 2007-07-16.
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