DR. EDWARD A JUODIS MD NPI 1053403980

NPI Information

NPI: 1053403980
Provider Name: DR. EDWARD A JUODIS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
500 HARVARD ST SE
UNIT J2-300 UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-6004
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DR. Edward A Juodis, MD is a diagnostic radiology radiology in Minneapolis, MN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Edward A Juodis, MD NPI is 1053403980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 HARVARD ST SE
UNIT J2-300 UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-6004

The enumeration date for this NPI number is 9/28/2006 and was last updated on 6/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	41300	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16-00398	OTHER	MINNESOTA	MEDICA-CHOICE
2	16-02032	OTHER	MINNESOTA	MEDICA-PRIMARY
3	0054009	MEDICAID	MONTANA
4	1021554	OTHER	MINNESOTA	PREFERRED ONE
5	59R93JU	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
6	123469	OTHER	MINNESOTA	U CARE
7	HP38351	OTHER	MINNESOTA	HEALTHPARTNERS
8	G86794	MEDICARE UPIN
9	930064	OTHER		ARAZ

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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