Individual
DR. RICHARD W SUDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 530, GLENDALE, CA 91204-2500
(818) 244-4374
(818) 244-0633
Mailing address
1510 S CENTRAL AVE, SUITE 530, GLENDALE, CA 91204-2500
(818) 244-4374
(818) 244-0633
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G53084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086630
—
CA
Enumeration date
08/10/2005
Last updated
07/09/2007
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