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NPI Code Detail

MEDICARE: TROY D CASHATT MD

MEDICARE:   TROY D CASHATT  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
1207P00000XEmergency Medicine PhysicianA63013CA
2207Q00000XFamily Medicine PhysicianA63013CA

General Provider Information

NPI Number : 1811948508
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY D CASHATT MD
Provider Business Mailing Address
First Line : 1971 LUCILE AVENUE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039
Country : US
Telephone Number : 310-367-2714
Fax Number : 323-663-0850
Provider Business Practice Location Address
First Line : 1971 LUCILE AVENUE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039
Country : US
Telephone Number : 310-367-2714
Fax Number : 323-663-0850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 03/15/2021

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