Chudoba, Jeffrey William

Chudoba, Jeffrey William is an individual health care provider with primary practice located at 2900 Daggett Ave , Klamath Falls OR 97601-7101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Chudoba, Jeffrey William can be contacted via phone (541) 205-3974.

Contact Information

Primary practice address
2900 Daggett Ave Klamath Falls OR 97601-7101
Phone: (541) 205-3974
Fax: (541) 205-5652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD21637 Oregon
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD21637 Oregon

Profile Details

NPI number 1104811322
LBN Legal business name Chudoba, Jeffrey William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jun 23rd, 2014 - about 10 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 1104811322 NPPES
Oregon MEDICAID 232545
Oregon MEDICAID XPY192082

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