National Provider Identifier
Ivan Wudexi, M.D
Ivan Wudexi, M.D is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 862-1423.
Profile Overview
- NPI
- 1043831316
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 28, 2020
- Last Updated
- October 30, 2024
Practice Location
- 2157 Main St
- Buffalo, NY 14214
Phone: (716) 862-1423
Mailing Address
- 800 Bradbury Dr Se Ste 116
- Albuquerque, NM 87106-4310
Specialties
- Internal Medicine Physician (207R00000X)
Endpoints
- UNMH@direct.health.unm.edu
Direct Messaging Address | Albuquerque, NM 87106
- UNMMG@direct.health.unm.edu
Direct Messaging Address | Albuquerque, NM 87106
Full Record
- NPI
- 1043831316
- Entity Type
- Individual
- Last Name
- Wudexi
- First Name
- Ivan
- Credential
- M.D
- Mailing Street Address
- 800 Bradbury Dr Se Ste 116
- Mailing City
- Albuquerque
- Mailing State
- NM
- Mailing ZIP Code
- 87106-4310
- Mailing Country
- US
- Mailing Phone
- (505) 272-1476
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214
- Practice Country
- US
- Practice Phone
- (716) 862-1423
- Enumeration Date
- April 28, 2020
- Last Updated
- October 30, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)