Avendano, Pablo Ureta
Avendano, Pablo Ureta is an individual health care provider with primary practice located at University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Avendano, Pablo Ureta can be contacted via phone (612) 626-2916.Contact Information
Primary practice address
University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100
Minneapolis MN 55455
Phone: (612) 626-2916
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36869 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 36869 | Minnesota |
Profile Details
| NPI number | 1003850173 |
|---|---|
| LBN Legal business name | Avendano, Pablo Ureta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003850173 | NPPES |
| Iowa | MEDICAID | 0544627 | |
| Iowa | Other | 1016106 | |
| Iowa | Other | 170869 | |
| Iowa | Other | 39-01535 | |
| Iowa | Other | 50G12AV | |
| Iowa | Other | 772066 | |
| Iowa | Other | HP26583 | |
| Iowa | MEDICAID | 0052054 |
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