Dudley, Raymond Adam
Dudley, Raymond Adam is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dudley, Raymond Adam can be contacted via phone (415) 353-2961.Contact Information
Primary practice address
505 Parnassus Ave
San Francisco CA 94143-2204
Phone: (415) 353-2961
Fax: (415) 353-2568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A53215 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A53215 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A53215 | California |
Profile Details
| NPI number | 1811947674 |
|---|---|
| LBN Legal business name | Dudley, Raymond Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 21st, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811947674 | NPPES |
| California | MEDICAID | 00A532150 |
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