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ANNADEL MEDICAL GROUP INC NPI 1114177425


NPI Information

NPI: 1114177425
Provider Name: ANNADEL MEDICAL GROUP, INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
500 DOYLE PARK DR
SUITE 100
SANTA ROSA, CA
ZIP 95405
Phone: (707) 544-6090
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ANNADEL MEDICAL GROUP, INC is a pediatrics in Santa Rosa, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ANNADEL MEDICAL GROUP, INC NPI is 1114177425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 DOYLE PARK DR
SUITE 100
SANTA ROSA, CA
ZIP 95405-558
Phone: (707) 544-6090
Fax: (707) 544-6694

The provider's authorized official is Richard E Igram .
The authorized official title is Vice President and has the following contact phone number (714) 937-6280.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 5/31/2013.


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
1208000000XPediatricsYes

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: 11/14/2023

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