# ALFONSO Q ESTRADA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932168697
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 036-057641 | IL | — |
| 207RC0000X | Cardiovascular Disease Physician | 01065735A | IN | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 01065735A | IN | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 03/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036057641 | — | IL |
| 01 | — | P00818711 | RAILROAD MEDICARE | IN |