Organization
SALVADOR M UDAGAWA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVADOR M UDAGAWA MD (PRESIDENT)
(716) 835-0641
Entity
Organization
Contact information
Practice address
3404 MAIN ST, BUFFALO, NY 14214-1316
(716) 835-0641
(716) 835-3450
Mailing address
3404 MAIN ST, BUFFALO, NY 14214-1316
(716) 835-0641
(716) 835-3450
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
117941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010181001
UNIVERA
NY
01
—
000506064001
BLUE CROSS WNY
NY
01
—
1406021
INDEPENDENT HEALTH
NY
01
—
145044AO
PREFERRED CARE
NY
Enumeration date
06/17/2010
Last updated
06/17/2010
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