Dr. Budi Wiryawan
MD | Pediatric Critical Care Medicine | Male
Dr. Budi Wiryawan, MD is a Mesa, Arizona based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Budi Wiryawan is
1400 S Dobson Rd, Banner Children's Hospital, Mesa, Arizona - 85202-4707. He can be contacted on phone at
480-512-6274 and fax number 480-512-3028.
Dr. Budi Wiryawan is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Budi Wiryawan is
1609961739 which was assigned by NPPES on 04 Oct, 2006 and it was last updated on 25 Jun, 2015.
Dr. Budi Wiryawan license number is
001976 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in New York.
Dr. Budi Wiryawan is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Budi Wiryawan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Budi Wiryawan |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Budi Wiryawan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1400 S Dobson Rd, Banner Children's Hospital
Mesa, AZ, 85202-4707
United States |
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| Phone Number : | 480-512-6274 |
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| Fax Number : | 480-512-3028 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1609961739 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Oct, 2006 |
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| Last Updated On : | 25 Jun, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Budi Wiryawan are as mentioned. Primary taxonomy code for Dr. Budi Wiryawan, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 37457 | AZ |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 001976 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Budi Wiryawan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 02461374 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 725 Welch Rd, Lucille Packard Chidlren Hospital/john Muir Hospital
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-497-8000 |
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Business Location:
Patients can refer following map for directions to
Dr. Budi Wiryawan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.