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Dr. Budi Wiryawan, MD
Pediatric Critical Care Medicine Physician in Mesa, Arizona
NPI 1609961739

Budi Wiryawan is a Pediatric Critical Care Medicine Physician based in Palo Alto, AZ and is specialized in Pediatric Critical Care Medicine. Budi Wiryawan practices in Mesa, AZ and has the professional credentials of MD. The NPI Number for Budi Wiryawan is 1609961739 and holds a License No. 001976 (Arizona).

The current practice location address for Budi Wiryawan is 1400 S Dobson Rd, Mesa, AZ and can be reached out via phone at 480-512-6274 and via fax at 480-512-3028. You can also correspond with Budi Wiryawan through the mailing address at 725 WELCH RD, PALO ALTO, CA - 94304-1601 (mailing address contact number: 650-497-8000).

Location: 1400 S Dobson Rd, Mesa, AZ, 94304-1601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609961739
Provider Name
Budi Wiryawan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 S Dobson Rd, Mesa, AZ, 94304-1601
Phone Number
480-512-6274
Fax Number
480-512-3028
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02461374 05 NY
institution
Provider Business Practice Location Address Details
Address
1400 S Dobson Rd
City
Mesa
State
Arizona
Zip
85202-4707
Phone Number
480-512-6274
Fax Number
480-512-3028
person
Provider Business Mailing Address Details
Address
725 Welch Rd
City
Palo Alto
State
California
Zip
94304-1601
Phone Number
650-497-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
001976 (New York)
Definition
A pediatrician 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.
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