Provider Demographics
NPI:1275513905
Name:VON BUEDINGEN, RICHARD PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:VON BUEDINGEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:191 CENTRE SOUTH BLVD
Mailing Address - Street 2:#20
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-6313
Mailing Address - Country:US
Mailing Address - Phone:803-648-7815
Mailing Address - Fax:803-648-8028
Practice Address - Street 1:191 CENTRE SOUTH BLVD
Practice Address - Street 2:#20
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-6313
Practice Address - Country:US
Practice Address - Phone:803-648-7815
Practice Address - Fax:803-648-8028
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2010-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC5580208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPA0999Medicaid
SCPA0999Medicaid
SC3497Medicare PIN