MEDICARE: RUDOLPH CHRISTOPHER ALVARADO 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
1	207R00000X	Internal Medicine Physician	G79387	CA

General Provider Information

NPI Number	:	1750353314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUDOLPH CHRISTOPHER ALVARADO M.D.

Provider Business Mailing Address
First Line	:	1180 E SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-7812
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 E SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-7812
Country	:	US
Telephone Number	:	559-228-4222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	06/15/2009

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