Alexander P. Dudetsky in Bellevue - Internal Medicine

Alexander P. Dudetsky - NPI 1588687024

Alexander P. Dudetsky is a Internal Medicine in Bellevue, Washington. Alexander P. Dudetsky practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Alexander P. Dudetsky is 1588687024. The last update date is 2010-12-22.

Alexander P. Dudetsky's current location address is 15710 Ne 24th Street, Bellevue, Washington. You can contact this provider via phone number 4252080026 and fax number 4256443868. The mailing address for Alexander P. Dudetsky is 15710 Ne 24th Street, Bellevue, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Alexander P. Dudetsky
Address 15710 Ne 24th Street, Bellevue, Washington
Phone Number 4252080026
Fax Number 4256443868
Sole Proprietor N
Credentials MD, PH.,D.

NPI Number Detail

NPI Number 1588687024
Provider Enumeration Date 2006-07-25
Last Updated Date 2010-12-22

Provider Mailing Address Detail

Address 15710 Ne 24th Street
City Bellevue
State Washington (WA)
Post Code 980082444
Phone Number 4252080026
Fax Number 4256443868

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD00045027
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8431082 WA --
199258 WA L&I

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FAQs about Alexander P. Dudetsky

What is the Alexander P. Dudetsky's unique identification number?

The Alexander P. Dudetsky has been assigned the NPI (National Provider Identifier) Number 1588687024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Alexander P. Dudetsky?

The Alexander P. Dudetsky is situated at 15710 Ne 24Th Street, in the city of Bellevue, state of WA, with the zip code 980082444.

What is Alexander P. Dudetsky's specialized field of practice, and what is the corresponding taxonomy classification code?

The Alexander P. Dudetsky's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1588687024 to Alexander P. Dudetsky?

The Centers for Medicare & Medicaid Services originally issued the 1588687024 to Alexander P. Dudetsky on 2006-07-25.

As of what date were the details related to Alexander P. Dudetsky most recently updated or revised?

The information pertaining to Alexander P. Dudetsky, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-22.

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