ANTHONY L KUDIRKA MD NPI 1114955838

NPI Information

  • NPI: 1114955838
  • Provider Name: ANTHONY L KUDIRKA, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 HARRINGTON ST
    MOUNT CLEMENS, MI
    ZIP 48043
  • Phone: (586) 493-8098

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NPI Details

Anthony L Kudirka, MD is a diagnostic radiology radiology in Mount Clemens, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Anthony L Kudirka, MD NPI is 1114955838. 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:

1000 HARRINGTON ST
MOUNT CLEMENS, MI
ZIP 48043-920
Phone: (586) 493-8098
Fax: (586) 493-8706

The NPI 1114955838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 11/26/2007.

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
12085R0202XRadiologyDiagnostic Radiology4301050082MICHIGANYes

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
10N78920MEDICARE PINMICHIGAN
23005011962OTHERMICHIGANBCBS INDIVIDUAL #
34085418MEDICAIDMICHIGAN
40N78930MEDICARE PINMICHIGAN
5A79752MEDICARE UPIN

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: 3/30/2025

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