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
Fax: (702) 233-4799
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 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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