FIDEL DAVILA MD NPI 1841488392

NPI Information

NPI: 1841488392
Provider Name: FIDEL DAVILA, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
1808 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 222-1299
Get Directions

Fidel Davila, MD is a pulmonary disease internal medicine in Russellville, AR. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Fidel Davila, MD NPI is 1841488392. 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:

1808 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801-724
Phone: (479) 222-1299

The enumeration date for this NPI number is 10/10/2007 and was last updated on 4/24/2017.

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	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	E-6583	ARKANSAS	No
2	208M00000X	Hospitalist		E-6583	ARKANSAS	No
3	207R00000X	Internal Medicine		F1494	TEXAS	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	E-6583	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	105210204	MEDICAID	TEXAS
2	105210203	MEDICAID	TEXAS
3	C44654	MEDICARE UPIN
4	105210205	MEDICAID	TEXAS
5	8K2856	MEDICARE PIN	TEXAS
6	8K2855	MEDICARE PIN	TEXAS
7	8K2857	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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