Davidoff, Andrew M.

Davidoff, Andrew M. is an individual health care provider with primary practice located at 262 Danny Thomas Place, Ms 0515 St. Jude Children'S Research Hospital, Memphis TN 38105-3678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Davidoff, Andrew M. can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Place, Ms 0515 St. Jude Children'S Research Hospital Memphis TN 38105-3678
Fax: (901) 595-3842
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 29260 Tennessee

Profile Details

NPI number 1508869793
LBN Legal business name Davidoff, Andrew M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 5th, 2011 - about 13 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 1508869793 NPPES
Oklahoma MEDICAID 100016910A
Oklahoma MEDICAID 2033963
Oklahoma MEDICAID 7612100
Oklahoma MEDICAID 036093610-3
Oklahoma MEDICAID 6514201
Oklahoma MEDICAID 00118708
Oklahoma MEDICAID 0149566
Oklahoma MEDICAID 422400000
Oklahoma MEDICAID 133131001
Oklahoma MEDICAID 200377030A
Oklahoma MEDICAID 1549606
Oklahoma MEDICAID 205026701
Oklahoma MEDICAID 009914190
Oklahoma MEDICAID 3818503
Oklahoma MEDICAID 200110730A
Oklahoma MEDICAID 64927858
Oklahoma MEDICAID 0527846
Oklahoma MEDICAID 104802025

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