George A Idarraga
MD | Pediatrics | Male
George A Idarraga, MD is a Madison, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of George A Idarraga is
3102 Meriter Way, Madison, Wisconsin - 53719-5833. He can be contacted on phone at
608-417-8388.
George A Idarraga is a sole proprietor of his business.
NPI number (Unique professional ID) for George A Idarraga is
1487699674 which was assigned by NPPES on 19 Jun, 2006 and it was last updated on 30 Mar, 2012.
George A Idarraga license number is
39892-20 for Pediatrics (208000000X) in Wisconsin.
George A Idarraga is a pediatrician who 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.
Complete Profile:
George A Idarraga basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | George A Idarraga |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
George A Idarraga address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3102 Meriter Way
Madison, WI, 53719-5833
United States |
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| Phone Number : | 608-417-8388 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487699674 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jun, 2006 |
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| Last Updated On : | 30 Mar, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for George A Idarraga are as mentioned. Primary taxonomy code for George A Idarraga, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 39892 | WI |
| 208000000X | Pediatrics | Yes | 39892-20 | WI |
Legacy Identifiers:
Other legacy medical identifiers of George A Idarraga such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 32469800 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 202 S Park St
Madison, WI, 53715-1507
United States |
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| Phone Number : | 608-417-6000 |
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Business Location:
Patients can refer following map for directions to
George A Idarraga practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.