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Individual
SUKUMAR GANDRA
Active
Individual
SUKUMAR GANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33720
OK
207R00000X
Internal Medicine Physician
Primary
V4911
TX
208M00000X
Hospitalist Physician
33720
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20080200A
—
OK
Enumeration date
04/04/2014
Last updated
06/25/2025
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