Bladuell, Nydia M

Bladuell, Nydia M is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 350, Marietta GA 30060-1155. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Bladuell, Nydia M can be contacted via phone (770) 424-6893.

Contact Information

Primary practice address
55 Whitcher St Ne Suite 350 Marietta GA 30060-1155
Phone: (770) 424-6893
Fax: (770) 528-9938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 038429 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 038429 Georgia

Profile Details

NPI number 1558362830
LBN Legal business name Bladuell, Nydia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558362830 NPPES
Georgia MEDICAID 000599057I
Georgia MEDICAID 000599057D
Georgia MEDICAID 000599057F
Georgia MEDICAID 000599057E
Georgia MEDICAID 000599057G
Georgia MEDICAID 000599057H
Georgia MEDICAID 000599057M

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