Marla W Dudak MD PC
NPI 1407600570ActiveOrganization· Surgery· Salt Lake City, UT
Surgery in Salt Lake City, Utah, registered in NPPES in April 2024. The authorized official on file is Marla W. Dudak, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407600570 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2024 |
| Last updated in NPPES | Apr 15, 2024 |
| Certified by provider | Apr 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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