Ivan Rudolph, MD - Internal Medicine in Phila, PA

Ivan Rudolph, MD is a Internal Medicine - Gastroenterology physician based in Phila, Pennsylvania. Ivan Rudolph is licensed to practice in Pennsylvania (license number MD006250E) and his current practice location is 132 S 10th St, 480 Main Building, Phila, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (215) 955-8900.

NPI number for Ivan Rudolph is 1053371930 and his current mailing address is 132 S 10th St, 480 Main Building, Phila, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053371930.

Contact Information

Ivan Rudolph, MD
132 S 10th St, 480 Main Building,
Phila, PA 19107-5244
(215) 955-8900
(215) 955-5245

Map and Direction




Physician's Profile

Full NameIvan Rudolph
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location132 S 10th St, Phila, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053371930
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ivan Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053371930NPI-NPPES
0017270520003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MD006250E (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Rudolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ivan Rudolph, MD
132 S 10th St, 480 Main Building,
Phila, PA 19107-5244

Ph: (215) 955-8900
Ivan Rudolph, MD
132 S 10th St, 480 Main Building,
Phila, PA 19107-5244

Ph: (215) 955-8900

Reviews and Comments


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