Individual
OSARUGUE A AIDEYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2020 59TH ST WEST, BLAKE MEDICAL CENTER, BRADENTON, FL 34209
(941) 792-6611
Mailing address
804 40TH ST WEST, STOUTAMYER-STRATOS-SCHROEDER-WHALEY-RIZZO & ASSOC MD PA, BRADENTON, FL 34205
(941) 749-5464
(941) 747-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME80128
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME80128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259639300
—
FL
Enumeration date
05/17/2006
Last updated
05/17/2010
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