Provider Demographics
NPI:1144231366
Name:GUDEWICH, RHONDA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:MARIE
Last Name:GUDEWICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WOOLDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-2536
Mailing Address - Country:US
Mailing Address - Phone:512-469-0647
Mailing Address - Fax:
Practice Address - Street 1:2901 MONTOPOLIS
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741
Practice Address - Country:US
Practice Address - Phone:512-389-1010
Practice Address - Fax:512-389-6511
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30514207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine