Fernandes, Eduardo Tavora

Fernandes, Eduardo Tavora is an individual health care provider with primary practice located at University Of Minnesota Physicians 516 Delaware Street Se, Pwb First Floor, Clinic 1E, Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fernandes, Eduardo Tavora can be contacted via phone (612) 626-6666.

Contact Information

Primary practice address
University Of Minnesota Physicians 516 Delaware Street Se, Pwb First Floor, Clinic 1E Minneapolis MN 55455
Phone: (612) 626-6666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 36795 Minnesota

Profile Details

NPI number 1639108830
LBN Legal business name Fernandes, Eduardo Tavora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639108830 NPPES
Montana MEDICAID 0147459
Montana Other 1016618
Montana Other 19-00018
Montana Other 777876
Montana MEDICAID 0596908
Montana Other 383R1FE
Montana Other 122707
Montana Other 19-00526
Montana Other HP26223

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