Individual
SUDHAKAR G. MADANAGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
24904
AL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
24904
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
24904
AL
207XX0801X
Orthopaedic Trauma Physician
Primary
24904
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173820
—
AL
01
—
511-61554
BCBS
AL
Enumeration date
05/20/2006
Last updated
05/08/2024
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