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Individual
DR. RUDYARD URIAH SMITH
Active
Individual
DR. RUDYARD URIAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036053241
IL
207R00000X
Internal Medicine Physician
202250
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01037640A
LICENSE NUMBER
IN
01
—
036053241
LICENSE NUMBER
IL
05
—
036053241001
—
IL
05
—
200414450A
—
IN
01
—
21627739
BLUE CROSS ID
IL
Enumeration date
05/09/2006
Last updated
08/06/2021
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