Samuel Calvert Dudley in Minneapolis - Cardiovascular Disease

Samuel Calvert Dudley - NPI 1568575173

Samuel Calvert Dudley is a Cardiovascular Disease in Minneapolis, Minnesota. Samuel Calvert Dudley practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Samuel Calvert Dudley is 1568575173. The last update date is 2017-11-01.

Samuel Calvert Dudley's current location address is 2450 Riverside Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6126726000. The mailing address for Samuel Calvert Dudley is 2450 Riverside Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Calvert Dudley
Address 2450 Riverside Ave, Minneapolis, Minnesota
Phone Number 6126726000
Fax Number
Sole Proprietor N
Credentials M.D., PH.D

NPI Number Detail

NPI Number 1568575173
Provider Enumeration Date 2006-08-16
Last Updated Date 2017-11-01

Provider Mailing Address Detail

Address 2450 Riverside Ave
City Minneapolis
State Minnesota (MN)
Post Code 554541450
Phone Number 6126726000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 336.080316
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD14147 RI PROFESSIONAL LICENSE

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FAQs about Samuel Calvert Dudley

What is the unique identifier code issued to Samuel Calvert Dudley by the Centers for Medicare & Medicaid Services (CMS)?

The Samuel Calvert Dudley has been assigned the NPI (National Provider Identifier) 1568575173. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Samuel Calvert Dudley's facilities are geographically located?

The facilities of Samuel Calvert Dudley are physically situated at the following location: 2450 Riverside Ave, Minneapolis, MN, 554541450.

What is Samuel Calvert Dudley's area of expertise and its corresponding taxonomy classification?

The Samuel Calvert Dudley's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1568575173 to Samuel Calvert Dudley?

The Centers for Medicare & Medicaid Services originally issued the 1568575173 to Samuel Calvert Dudley on 2006-08-16.

When was the information pertaining to Samuel Calvert Dudley most recently updated or revised?

The details related to Samuel Calvert Dudley, including its address, specialty, and other relevant information, were last updated or revised on 2017-11-01.

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