DR. KAREN PARKS RUDOLPH MD NPI 1578838629

NPI Information

NPI: 1578838629
Provider Name: DR. KAREN PARKS RUDOLPH, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: UNIVERSITY SURGICAL ASSOCIATES, LLC

PECOS Registration: Yes

Address:
2108 E 3RD STREET
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 267-0466
Get Directions

DR. Karen Parks Rudolph, MD is a vascular surgery surgery in Chattanooga, TN with 12 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Karen Parks Rudolph, MD NPI is 1578838629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2108 E 3RD STREET
CHATTANOOGA, TN
ZIP 37404-622
Phone: (423) 267-0466

The NPI 1578838629 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 3/21/2012 and was last updated on 8/1/2019.

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	2086S0129X	Surgery	Vascular Surgery	59639	TENNESSEE	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	59639	OTHER	TENNESSEE	TN MD

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: 11/14/2023

NPI Synchronization or Removal

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