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ASHA DEVEREAUX MD MPH A PROFESSIONAL CORPORATION NPI 1053597641


NPI Information

NPI: 1053597641
Provider Name: ASHA DEVEREAUX, MD, MPH A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1224 10TH ST
STE 205
CORONADO, CA
ZIP 92118
Phone: (619) 435-4203
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ASHA DEVEREAUX, MD, MPH A PROFESSIONAL CORPORATION is a specialist in Coronado, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ASHA DEVEREAUX, MD, MPH A PROFESSIONAL CORPORATION NPI is 1053597641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1224 10TH ST
STE 205
CORONADO, CA
ZIP 92118-416
Phone: (619) 435-4203

The provider's authorized official is Asha V Devereaux .
The authorized official title is President and has the following contact phone number (619) 435-4203.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 10/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA51614CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A516140MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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