DR. ALEX BENJAMIN PETRAK MD NPI 1801473707

NPI Information

NPI: 1801473707
Provider Name: DR. ALEX BENJAMIN PETRAK, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
400 W MINERAL KING AVE
VISALIA, CA
ZIP 93291
Phone: (614) 716-9741
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DR. Alex Benjamin Petrak, MD is a student in an organized health care education training program in Visalia, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Alex Benjamin Petrak, MD NPI is 1801473707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 W MINERAL KING AVE
VISALIA, CA
ZIP 93291-237
Phone: (614) 716-9741

The enumeration date for this NPI number is 3/26/2021 and was last updated on 3/26/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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: 5/5/2024

NPI Synchronization or Removal

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