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FIRST STATE INFECTIOUS DISEASES LLC NPI 1942815691


NPI Information

NPI: 1942815691
Provider Name: FIRST STATE INFECTIOUS DISEASES, LLC

Other Name: FIRST STATE INFECTIOUS DISEASES LLC POIC

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 08D2146927

Address:
200 BANNING STREET
SUITE 230
DOVER, DE
ZIP 19904
Phone: (302) 678-0200
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FIRST STATE INFECTIOUS DISEASES, LLC is an infectious disease internal medicine in Dover, DE. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. FIRST STATE INFECTIOUS DISEASES, LLC NPI is 1942815691. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is First State Infectious Diseases Llc Poic.

The provider's business location address is:

200 BANNING STREET
SUITE 230
DOVER, DE
ZIP 19904-487
Phone: (302) 678-0200
Fax: (302) 678-2300

The provider's authorized official is Ramesh Vemulapalli .
The authorized official title is Md and has the following contact phone number (302) 678-0200.

The CLIA number assigned to this NPI record is 08D2146927 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2020 and was last updated on 9/16/2020.


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
1207RI0200XInternal MedicineInfectious DiseaseYes

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
1250444224MEDICAIDDELAWARE

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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