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Individual
SUMA GUDUR
Active
Individual
SUMA GUDUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70391
GA
207R00000X
Internal Medicine Physician
ME105338
FL
207R00000X
Internal Medicine Physician
Primary
P9361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MAID 001423800
—
FL
05
—
MCAR CL906Z
—
FL
Enumeration date
10/02/2008
Last updated
03/12/2019
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