Derdeyn, Colin P

Derdeyn, Colin P is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-1009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Derdeyn, Colin P can be contacted via phone (434) 924-9400.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-1009
Phone: (434) 924-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 0101280416 Virginia
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD43047 Iowa
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 105361 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101280416 Virginia

Profile Details

NPI number 1063438299
LBN Legal business name Derdeyn, Colin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 5th, 2024 - about 10 months 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 1063438299 NPPES
Missouri MEDICAID 268010377

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