1063461671 NPI number — ISRAEL FERNANDO MD

Table of content: (NPI 1063461671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063461671 NPI number — ISRAEL FERNANDO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ISRAEL FERNANDO MD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ADVANCED DERMATOLOGY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063461671
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1588 37TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOLINE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61265-7213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
309-797-2713
Provider Business Mailing Address Fax Number:
309-797-9558

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
825 N 6TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52601-4920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-754-9028
Provider Business Practice Location Address Fax Number:
319-754-9038
Provider Enumeration Date:
05/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FERNANDO
Authorized Official First Name:
ISRAEL
Authorized Official Middle Name:
V
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
309-797-3713

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0268292 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




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