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NPI Code Detail

MEDICARE: MARIA M SZPYT-DOMANSKA MD

MEDICARE: MARIA M SZPYT-DOMANSKA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianC53830CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2C53830OTHERCACALIFORNIA MEDICAL LICENSE #
31629054168OTHERCANPI

General Provider Information

NPI Number : 1629054168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA M SZPYT-DOMANSKA MD
Provider Business Mailing Address
First Line : 2719 N AIR FRESNO DR
Second Line :
City : FRESNO
State : CA
Zip : 93727-1547
Country : US
Telephone Number : 559-600-8918
Fax Number : 559-600-7684
Provider Business Practice Location Address
First Line : 2719 N AIR FRESNO DR
Second Line :
City : FRESNO
State : CA
Zip : 93727-1547
Country : US
Telephone Number : 559-600-8918
Fax Number : 559-600-7684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 01/09/2023

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