Basic Information
| Provider Information | |||||||||
| NPI: | 1235595356 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RUDOLPH ALVARADO MD PROFESSIONAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2981 WRENWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | CLOVIS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936113425 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5597909571 | ||||||||
| FaxNumber: | 5592276405 | ||||||||
| Practice Location | |||||||||
| Address1: | 1303 E HERNDON AVE | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937203309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594503000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2016 | ||||||||
| LastUpdateDate: | 01/05/2016 | ||||||||
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| AuthorizedOfficialLastName: | ALVARADO | ||||||||
| AuthorizedOfficialFirstName: | RUDOLPH | ||||||||
| AuthorizedOfficialMiddleName: | CHRISTOPHER | ||||||||
| AuthorizedOfficialTitleorPosition: | MD/INTERNAL MEDICINE | ||||||||
| AuthorizedOfficialTelephone: | 5597909571 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | G79387 | CA | Y | Hospitals | General Acute Care Hospital |
No ID Information.