Dr. Charles F Moldow
Hematologist
516 Delaware Street S.e. Clinic 3a University Of Minnesota Physicians
Minneapolis
, Minnesota 55455
Dr. Charles F Moldow
Hematologist
516 Delaware Street S.e. Clinic 3a University Of Minnesota Physicians
Minneapolis
, Minnesota 55455
(612) 884-0999
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About
Features
Specialties
- Hematologist
Languages spoken
- English
Location
First Address
- Dr. Charles F Moldow
- 720 Washington Ave Se University Of Minnesota Physicians
- Minneapolis, MN
- Zip : 55414-2924
- Phone : (612) 884-0999
Second Address
- Dr. Charles F Moldow
- 516 Delaware Street S.e. Clinic 3a University Of Minnesota Physicians
- Minneapolis, MN
- Zip : 55455
- Phone : (612) 884-0999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | 21787 | MN |
National Provider Identifier
| NPI | 1467538413 |
|---|---|
| Provider Name | Dr. Charles F Moldow |
| First Address | Minneapolis, MN 55414-2924 |
| Second Address | Minneapolis, MN 55455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 18/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0051714 | (05) | MT |
| 0505529 | (05) | IA |
| 05G93MO | BLUE CROSS BLUE SHIELD (01) | |
| 1017749 | PREFERRED ONE (01) | |
| 10387 | (05) | ND |
| 122987 | UCARE (01) | |
| 30-00009 | MEDICA PRIMARY (01) | |
| 30-07017 | MEDICA CHOICE (01) | |
| 30211800 | (05) | WI |
| 7777470 | (05) | SD |
| 778277 | ARAZ (01) | |
| 900321500 | (05) | MN |
| G76043 | (02) | |
| HP28832 | HEALTH PARTNERS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.