Santos, Rudy Y

Santos, Rudy Y is an sole proprietor health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Santos, Rudy Y can be contacted via phone (707) 888-4415.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (707) 888-4415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C53119 California

Profile Details

NPI number 1336149749
LBN Legal business name Santos, Rudy Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Jun 29th, 2023 - about last year

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 1336149749 NPPES
Pennsylvania Other MD418624 LICENSE
Pennsylvania MEDICAID 0018871270003 LICENSE
Pennsylvania Other C53119 LICENSE

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