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Organization
VADIM CHUDNOVSKY M D INC
Active
Organization
VADIM CHUDNOVSKY M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VADIM CHUDNOVSKY M.D. (PRESIDENT)
(714) 635-0880
Entity
Organization
Contact information
Practice address
1743 S CLAUDINA WAY, ANAHEIM, CA 92805-6544
(714) 635-0880
(714) 635-0890
Mailing address
1743 S CLAUDINA WAY, ANAHEIM, CA 92805-6544
(714) 635-0880
(714) 635-0890
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/09/2009
Last updated
01/25/2010
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