Individual
BELA ILYA KUDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7584
Mailing address
PO BOX 402, GOTHA, FL 34734-0402
(407) 982-4852
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME106746
FL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
ME106746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123235100
—
FL
Enumeration date
05/28/2006
Last updated
08/08/2024
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