Individual
JOSE JORGE GORDINHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101043986
VA
207RN0300X
Nephrology Physician
Primary
16005
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000553723
BLUE CROSS BLUE SHIELD
WV
05
—
005807000
—
VA
05
—
0072202000
—
WV
01
—
282397
BLUE CROSS BLUE SHIELD
VA
01
—
513901
MEDICARE PART A
PA
Enumeration date
03/30/2006
Last updated
07/10/2015
Update your record
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