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PATRICIO A. ILABACA MD PC NPI 1386744514


NPI Information

NPI: 1386744514
Provider Name: PATRICIO A. ILABACA, MD, PC

Other Name: CARDIOVASCULAR & THORACIC SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
6027 WALNUT GROVE RD
SUITE 114
MEMPHIS, TN
ZIP 38120
Phone: (901) 683-6161
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PATRICIO A. ILABACA, MD, PC is a vascular surgery surgery in Memphis, TN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PATRICIO A. ILABACA, MD, PC NPI is 1386744514. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Cardiovascular & Thoracic Surgery.

The provider's business location address is:

6027 WALNUT GROVE RD
SUITE 114
MEMPHIS, TN
ZIP 38120-145
Phone: (901) 683-6161
Fax: (901) 683-7998

The provider's authorized official is Patricio A. Ilabaca .
The authorized official title is President and has the following contact phone number (901) 683-6161.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 10/18/2010.


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
12086S0129XSurgeryVascular Surgery9582TENNESSEEYes

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
13171424MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
2B59354MEDICARE UPIN
33171424MEDICAIDTENNESSEE
409015252MEDICAIDARKANSAS

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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