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Jeffrey Alan Dedelow, MD
Diagnostic Radiology Physician in Bloomington, Indiana
NPI 1376758524

Jeffrey Alan Dedelow is a Diagnostic Radiology Physician based in Indianapolis, IN and is specialized in Diagnostic Radiology. Jeffrey Alan Dedelow practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Jeffrey Alan Dedelow is 1376758524 and holds a License No. 01069197A (Indiana).

The current practice location address for Jeffrey Alan Dedelow is 514 W 2Nd St, Bloomington, IN and can be reached out via phone at 812-353-3719.

Location: 514 W 2Nd St, Bloomington, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376758524
Provider Name
Jeffrey Alan Dedelow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
514 W 2Nd St, Bloomington, IN, 46219-4959
Phone Number
812-353-3719
Fax Number
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1049913 05 LA
04377066 05 MS
201015030 05 IN
P01119545 01 IN RAILROAD MEDICARE
5186380 05 MI
0090190 05 OH
institution
Provider Business Practice Location Address Details
Address
514 W 2Nd St
City
Bloomington
State
Indiana
Zip
47403-2316
Phone Number
812-353-3719
Fax Number
person
Provider Business Mailing Address Details
Address
514 W 2Nd St
City
Bloomington
State
Indiana
Zip
47403-2316
Phone Number
812-353-3719
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hospice and Palliative Medicine
Taxonomy
207RH0002X
License No.
MD026741 (Louisiana)
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
4301089258 (Michigan)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01069197A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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