Madlang, Rodolfo G

Madlang, Rodolfo G is an individual health care provider with primary practice located at 4401 Harrison Boulevard Mckay Dee Hospital, Ogden UT 84403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Madlang, Rodolfo G can be contacted via phone (801) 507-5248.

Contact Information

Primary practice address
4401 Harrison Boulevard Mckay Dee Hospital Ogden UT 84403
Phone: (801) 507-5248
Fax: (801) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 82-169053-1205 Utah

Profile Details

NPI number 1710071139
LBN Legal business name Madlang, Rodolfo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 15th, 2012 - about 14 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 1710071139 NPPES
Utah Other 1502954 UMWA
Utah Other 2090168 UMWA
Utah MEDICAID 804070100 UMWA
Utah Other 870545614MA1 UMWA
Utah MEDICAID 100501221 UMWA
Utah MEDICAID 110961800 UMWA
Utah Other PRA04118 UMWA
Utah Other QM0000075886 UMWA
Utah Other 107005082102 UMWA
Utah MEDICAID 820953 UMWA
Utah Other 36507 UMWA
Utah Other 37803 UMWA
Utah Other 53253 UMWA
Utah Other 8597445 UMWA

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