Brodsky, Anatoly

Brodsky, Anatoly is an individual health care provider with primary practice located at 2500 Merced St Internal Medicine Department, San Leandro CA 94577-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brodsky, Anatoly can be contacted via phone (510) 454-4010.

Contact Information

Primary practice address
2500 Merced St Internal Medicine Department San Leandro CA 94577-4201
Phone: (510) 454-4010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD22865 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A72800 California

Profile Details

NPI number 1346291549
LBN Legal business name Brodsky, Anatoly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 15th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346291549 NPPES
Oregon Other 080188871 RAILROAD MEDICARE PROVIDER NUMBER
Oregon MEDICAID 287049 RAILROAD MEDICARE PROVIDER NUMBER

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