Moldow, Charles F
Moldow, Charles F is an individual health care provider with primary practice located at 516 Delaware Street S.E. Clinic 3A University Of Minnesota Physicians, Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Moldow, Charles F can be contacted via phone (612) 884-0999.Contact Information
Primary practice address
516 Delaware Street S.E. Clinic 3A University Of Minnesota Physicians
Minneapolis MN 55455
Phone: (612) 884-0999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 21787 | Minnesota |
Profile Details
| NPI number | 1467538413 |
|---|---|
| LBN Legal business name | Moldow, Charles F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Apr 18th, 2012 - about 14 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 | 1467538413 | NPPES |
| Other | 05G93MO | BLUE CROSS BLUE SHIELD | |
| Other | 1017749 | BLUE CROSS BLUE SHIELD | |
| Other | 122987 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 10387 | BLUE CROSS BLUE SHIELD | |
| Other | 30-07017 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 0051714 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 0505529 | BLUE CROSS BLUE SHIELD | |
| Other | 30-00009 | BLUE CROSS BLUE SHIELD | |
| Other | HP28832 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 30211800 | BLUE CROSS BLUE SHIELD | |
| Other | 778277 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 7777470 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 900321500 | BLUE CROSS BLUE SHIELD |
Popular Providers
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Navarro, Willis H.
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Miller, Jeffrey S
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Datta, Yvonne Marie
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He, Fiona
800 E 28Th St Ste 401 , Minneapolis MN 55407-3723