LIFESPAN MEDICAL SERVICES LLC – NPI #1427131382
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

LIFESPAN MEDICAL SERVICES LLC is a provider located in DOVER, DE. NPPES has assigned the NPI number 1427131382 to LIFESPAN MEDICAL SERVICES LLC on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFESPAN MEDICAL SERVICES LLC below.

NPI Profile for
LIFESPAN MEDICAL SERVICES LLC

NPI Number
1427131382
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFESPAN MEDICAL SERVICES LLC
Primary location
1125 FORREST AVE
DOVER, DE 19904-3483
Phone: (302) 346-0100 Fax: (302) 346-0103
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HARSHA TANKALA
OWNER/PRESIDENT
Phone: (302) 678-0950
Updated
Identifiers

Identifiers for LIFESPAN MEDICAL SERVICES LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDE1000041898
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
DE C1-0005962

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.