Tedja, Rudy Martin

Tedja, Rudy Martin is an individual health care provider with primary practice located at 1155 Mill St , Reno NV 89502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Tedja, Rudy Martin can be contacted via phone (775) 982-7878.

Contact Information

Primary practice address
1155 Mill St Reno NV 89502
Phone: (775) 982-7878
Fax: (775) 982-4196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 57113 Minnesota
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 20A13497 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 34.009823 Ohio
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X DO2441 Nevada
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X DO2441 Nevada

Profile Details

NPI number 1639344963
LBN Legal business name Tedja, Rudy Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Sep 21st, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639344963 NPPES
Other 14271792 CAQH

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