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VADIM CHUDNOVSKY M.D. INC. NPI 1851589519


NPI Information

NPI: 1851589519
Provider Name: VADIM CHUDNOVSKY, M.D., INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1440 S STATE COLLEGE BLVD
SUITE 3-M
ANAHEIM, CA
ZIP 92806
Phone: (714) 758-2985
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VADIM CHUDNOVSKY, M.D., INC. is a diagnostic radiology radiology in Anaheim, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. VADIM CHUDNOVSKY, M.D., INC. NPI is 1851589519. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1440 S STATE COLLEGE BLVD
SUITE 3-M
ANAHEIM, CA
ZIP 92806-724
Phone: (714) 758-2985
Fax: (714) 758-0770

The provider's authorized official is Vadim Chudnovsky .
The authorized official title is President and has the following contact phone number (714) 758-2985.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyA48658CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A486580MEDICAIDCALIFORNIA

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

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