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Individual
DR. SUDHIR MADISETTY
Active
Individual
DR. SUDHIR MADISETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J3846
TX
208000000X
Pediatrics Physician
Primary
J3846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092053001
—
TX
05
—
092053002
—
TX
01
—
118342100
FIRSTCARE
TX
01
—
121348
SUPERIOR
TX
01
—
8A9340
BLUECROSSBLUESHIELD
TX
Enumeration date
08/04/2006
Last updated
08/21/2014
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