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NPI Code Detail

MEDICARE: DR. FEDERICO PARDO GREGORIO M.D.

MEDICARE: DR. FEDERICO PARDO GREGORIO M.D.
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
1208600000XSurgery PhysicianA50507CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437184876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FEDERICO PARDO GREGORIO M.D.
Provider Business Mailing Address
First Line : 1000 S NELSON AVE
Second Line :
City : MONAHANS
State : TX
Zip : 79756-6300
Country : US
Telephone Number : 432-943-7887
Fax Number : 432-943-4505
Provider Business Practice Location Address
First Line : 199 E WEBSTER ST
Second Line :
City : COLUSA
State : CA
Zip : 95932-2954
Country : US
Telephone Number : 530-458-3283
Fax Number : 530-458-3215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/19/2008

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