NATALIE JULIE PUDALOV MD
NPI 1710560669
Student in an Organized Health Care Education/Training Program in Charleston, SC

Q: What is Natalie Pudalov's NPI number?

The NPI number for Natalie Pudalov is 1710560669. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Natalie Pudalov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Natalie Pudalov was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 29, 2021PECOS Enrolled

10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401(843) 810-7664 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Natalie Julie Pudalov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATALIE JULIE PUDALOV MD (NPI 1710560669) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710560669

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNATALIE JULIE PUDALOVCredential: MD

Location Address10 MCCLENNAN BANKS DRCharleston, SC 29401-1164

Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905

Phone(843) 810-7664

Sole ProprietorYes

Enumeration DateApril 29, 2021

NPPES CertifiedApril 26, 2021

✔ NPI 1710560669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10 MCCLENNAN BANKS DR, Charleston, SC 29401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Julie Pudalov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.