Individual
SUDHAKAR MARABOYINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 NEEDMORE RD, STE 300, DAYTON, OH 45414-3969
(937) 277-4274
(937) 277-8476
Mailing address
1530 NEEDMORE RD, STE 300, DAYTON, OH 45414-3969
(937) 277-4274
(937) 277-8476
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35-03-7317
OH
207RI0011X
Interventional Cardiology Physician
Primary
35-03-7317
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250526
—
OH
Enumeration date
06/01/2005
Last updated
10/23/2020
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