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NPI Code Detail

MEDICARE: DR. LESLIE ANN RUDZINSKI M.D.

MEDICARE:  DR. LESLIE ANN RUDZINSKI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084E0001XEpilepsy Physician20322HI
22084N0400XNeurology PhysicianME94016FL
32084N0400XNeurology Physician51255MN
42084N0400XNeurology PhysicianMD-20322HI
52084E0001XEpilepsy Physician64458GA

General Provider Information

NPI Number : 1336122639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESLIE ANN RUDZINSKI M.D.
Provider Business Mailing Address
First Line : 1301 PUNCHBOWL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2499
Country : US
Telephone Number : 808-691-8866
Fax Number :
Provider Business Practice Location Address
First Line : 1301 PUNCHBOWL ST
Second Line :
City : HONOLULU
State : HI
Zip : 96813-2499
Country : US
Telephone Number : 808-691-8866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 01/09/2025

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Directions to “ DR. LESLIE ANN RUDZINSKI M.D.” Practice Location

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