Grudzinski, Andrew Robert
Grudzinski, Andrew Robert is an individual health care provider with primary practice located at 7500 Smoke Ranch Rd Ste 200 , Las Vegas NV 89128-0373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Grudzinski, Andrew Robert can be contacted via phone (702) 233-0727.Contact Information
Primary practice address
7500 Smoke Ranch Rd Ste 200
Las Vegas NV 89128-0373
Phone: (702) 233-0727
Fax: (702) 233-4799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 21055 | South Carolina |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 20748 | Nevada |
Profile Details
| NPI number | 1285602151 |
|---|---|
| LBN Legal business name | Grudzinski, Andrew Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 2nd, 2021 - about 4 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 | 1285602151 | NPPES |
| South Carolina | Other | 000000206911 | UNISON HEALTH PLAN |
| South Carolina | Other | 5580793 | UNISON HEALTH PLAN |
| South Carolina | Other | P00360558 | UNISON HEALTH PLAN |
| South Carolina | Other | 771828 | UNISON HEALTH PLAN |
| South Carolina | Other | 80023030 | UNISON HEALTH PLAN |
| South Carolina | MEDICAID | GP4522 | UNISON HEALTH PLAN |
| South Carolina | MEDICAID | T50860 | UNISON HEALTH PLAN |
| South Carolina | Other | 790598L | UNISON HEALTH PLAN |
| South Carolina | Other | 8522204 | UNISON HEALTH PLAN |
| South Carolina | MEDICAID | GP1521 | UNISON HEALTH PLAN |
| South Carolina | Other | 2280313 | UNISON HEALTH PLAN |
| South Carolina | MEDICAID | 5907458 | UNISON HEALTH PLAN |
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