Individual
SUDHA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6288 S FRYE ST, TERRE HAUTE, IN 47802-8476
(812) 894-2130
Mailing address
6288 S FRYE ST, TERRE HAUTE, IN 47802-8476
(812) 894-2130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042708A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100473120C
—
IN
Enumeration date
06/23/2005
Last updated
06/30/2010
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