Individual
SUDEEP NARAYANA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24971
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910919
—
AL
05
—
009938446
—
AL
05
—
009938447
—
AL
05
—
01237334
—
MS
01
—
51536200
BCBS - STANTON RD
AL
01
—
51536282
BCBS - FILLINGIM ST
AL
01
—
51542496
BCBS - MEDICAL PARK FOUR
AL
Enumeration date
07/26/2006
Last updated
07/17/2020
Update your record
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