Videla, Felipe L.G.

Videla, Felipe L.G. is an individual health care provider with primary practice located at 1616 E Maryland Ave , Phoenix AZ 85016-1302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Videla, Felipe L.G. can be contacted via phone (602) 788-1521.

Contact Information

Primary practice address
1616 E Maryland Ave Phoenix AZ 85016-1302
Phone: (602) 788-1521
Fax: (602) 688-5420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 30207 Arizona
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 30207 Arizona

Profile Details

NPI number 1194717991
LBN Legal business name Videla, Felipe L.G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 26th, 2024 - about 2 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 1194717991 NPPES
Arizona Other AZ0718260 BLUE CROSS BLUE SHIELD
Arizona Other 7802344 BLUE CROSS BLUE SHIELD
Arizona MEDICAID 709438 BLUE CROSS BLUE SHIELD

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