IMAWATI BUDIHARDJO M.D., PH.D – NPI #1043337173
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
IMAWATI BUDIHARDJO is a physician located in LA JOLLA, CA. NPPES has assigned the NPI number 1043337173 to IMAWATI BUDIHARDJO on March 23, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology
The NPI profile was previously updated about 19 years ago on Oct 12, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMAWATI BUDIHARDJO below.
NPI Profile for
IMAWATI BUDIHARDJO
(more than 19 years ago)
LA JOLLA, CA 92093-0987 Phone: (858) 822-6100 Fax: (858) 822-6186
ROOM 2016
LA JOLLA, CA 92093-0698 Phone: (858) 822-7916 Fax: (858) 822-5380
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RH0003X - Internal Medicine / Hematology & Oncology (Primary) |
CA | A84421 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.