Blandon, Pedro Antonio
Blandon, Pedro Antonio is an individual health care provider with primary practice located at 4801 Alberta Ave , El Paso TX 79905-2707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blandon, Pedro Antonio can be contacted via phone (915) 545-6618.Contact Information
Primary practice address
4801 Alberta Ave
El Paso TX 79905-2707
Phone: (915) 545-6618
Fax: (915) 545-6634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L5254 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | C1-0006902 | Delaware |
Profile Details
| NPI number | 1275531469 |
|---|---|
| LBN Legal business name | Blandon, Pedro Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275531469 | NPPES |
| Delaware | Other | C1-0006902 | DELAWARE LICENSE |
| Delaware | Other | L5254 | DELAWARE LICENSE |
| Delaware | Other | MD4244 | DELAWARE LICENSE |
| Delaware | MEDICAID | 1000022966 | DELAWARE LICENSE |
| Delaware | Other | M0145214 | DELAWARE LICENSE |
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