Colin David Rudolph in San Francisco - Pediatric Gastroenterology

Colin David Rudolph - NPI 1073564548

Colin David Rudolph is a Pediatric Gastroenterology in San Francisco, California. Colin David Rudolph practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Colin David Rudolph is 1073564548. The last update date is 2022-01-03.

Colin David Rudolph's current location address is 156 Parker Avenue, San Francisco, California. You can contact this provider via phone number 4153176342. The mailing address for Colin David Rudolph is 156 Parker Avenue, San Francisco, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Colin David Rudolph
Address 156 Parker Avenue, San Francisco, California
Phone Number 4153176342
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1073564548
Provider Enumeration Date 2006-05-12
Last Updated Date 2022-01-03

Provider Mailing Address Detail

Address 156 Parker Avenue
City San Francisco
State California (CA)
Post Code 941182608
Phone Number 4153176342
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Gastroenterology
Taxonomy 2080P0206X
Licence No 42936
Definition:
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34045500 WI --
004006261W HUMANA

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FAQs about Colin David Rudolph

What is the unique identifier code issued to Colin David Rudolph by the Centers for Medicare & Medicaid Services (CMS)?

The Colin David Rudolph has been assigned the NPI (National Provider Identifier) 1073564548. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Colin David Rudolph's physical address?

The Colin David Rudolph is physically located at 156 Parker Avenue, in the city of San Francisco, CA, with the postal code 941182608.

What is the Colin David Rudolph's specialty and taxonomy code?

The Colin David Rudolph's specialty is Pediatric Gastroenterology, and the corresponding taxonomy code is 2080P0206X.

On what date did the Centers for Medicare & Medicaid Services issue the 1073564548 to Colin David Rudolph?

The Colin David Rudolph received its 1073564548 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.

When was the information regarding Colin David Rudolph, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Colin David Rudolph, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-03.

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