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Contact Information

ARDOW R AMEDURI JR, MD
4383 MEDICAL DRIVE
SAN ANTONIO, TX78229-3307
 Phone: 210-593-5700
 Fax: 210-593-2630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for ARDOW R AMEDURI JR · (Male)

NPI # 1861412348
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 02/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # E2124
  • TX Medicaid 126256002
  • TX Medicaid 126256006
  • Other 4059971 AETNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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