Rudraraju, Madhavi
Rudraraju, Madhavi is an individual health care provider with primary practice located at 8201 Ewing Halsell Dr 2Nd Floor, San Antonio TX 78229-3707. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is her primary health care specialty. Rudraraju, Madhavi can be contacted via phone (210) 575-8514.Contact Information
Primary practice address
8201 Ewing Halsell Dr 2Nd Floor
San Antonio TX 78229-3707
Phone: (210) 575-8514
Fax: (210) 575-8004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | N5374 | Texas |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | N5374 | Texas |
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | N5374 | Texas |
Profile Details
| NPI number | 1609803956 |
|---|---|
| LBN Legal business name | Rudraraju, Madhavi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Feb 24th, 2017 - about 7 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 | 1609803956 | NPPES |
| Texas | Other | 219652902 | CSHCN |
| Texas | Other | 8CJ296 | CSHCN |
| Texas | Other | P00996225 | CSHCN |
| Texas | MEDICAID | 219652901 | CSHCN |
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