Individual
DR. ARAVIND SUGUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 N DYSART RD STE G127, AVONDALE, AZ 85392-1011
(623) 322-0323
(623) 322-0757
Mailing address
3400 N DYSART RD STE G127, AVONDALE, AZ 85392-1011
(623) 322-0323
(623) 322-0757
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
50574
MN
207RG0100X
Gastroenterology Physician
Primary
55744
AZ
207RG0100X
Gastroenterology Physician
TEMP
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-35128
MEDICAL LICENSE
KS
05
—
949688100
—
MN
01
—
P00629425
MEDICARE, RAILROAD
MN
Enumeration date
06/14/2007
Last updated
03/25/2025
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