Individual
DR. KAHDI F UDOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
(208) 302-2625
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-28402
KS
2086S0102X
Surgical Critical Care Physician
078646
GA
2086S0102X
Surgical Critical Care Physician
Primary
MC-2857
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100345850A
—
KS
05
—
204755102
—
MO
01
—
25911010
BCBS KANSAS CITY
MO
01
—
372600
FIRSTGUARD
KS
Enumeration date
09/22/2006
Last updated
05/29/2024
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