Provider Demographics
NPI:1992508279
Name:PUDEWA, FIONA (MD)
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:PUDEWA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1757 KARLEY WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-4321
Mailing Address - Country:US
Mailing Address - Phone:916-216-9903
Mailing Address - Fax:
Practice Address - Street 1:1757 KARLEY WAY
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-4321
Practice Address - Country:US
Practice Address - Phone:916-216-9903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program