Pedstat is a Urgent Care in Fort Wayne, Indiana. Pedstat practices all healthcare services and medical treatments related to Urgent Care. The NPI Number for Pedstat is 1265519185. The last update date is 2007-09-07.
Pedstat's current location address is 3919 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604367722 and fax number 2604590012. The mailing address for Pedstat is 3919 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pedstat |
|---|---|
| Address | 3919 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604367722 |
| Fax Number | 2604590012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Veerula Rao Giridhar |
| Credentials | M.D. |
| Telephone Number | 2604367722 |
NPI Number Detail
| NPI Number | 1265519185 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 3919 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046811 |
| Phone Number | 2604367722 |
| Fax Number | 2604590012 |
Provider's Primary Taxonomy Detail
| Speciality | Urgent Care |
|---|---|
| Taxonomy | 261Qu0200X |
|
Definition: Treats injuries, sudden illnesses, and other urgent health conditions without an appointment, often with extended hours. |
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Post Comment/ Review Below
What is the Pedstat's 1265519185?
The Pedstat's NPI (National Provider Identifier) Number is 1265519185. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pedstat's physical address?
The Pedstat is physically located at 3919 W Jefferson Blvd, in the city of Fort Wayne, IN, with the postal code 468046811.
What is Pedstat's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pedstat is Urgent Care, and the taxonomy code that categorizes this field of expertise is 261Qu0200X.
On what date did the Pedstat receive its 1265519185 assignment from the Centers for Medicare & Medicaid Services?
The Pedstat was assigned its 1265519185 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details pertaining to Pedstat last refreshed?
The information related to the Pedstat, including its address, specialty, and other relevant details, was last updated on 2007-09-07.