Individual
SURESH R GUDUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 PIRKLE FERRY RD, STE G100, CUMMING, GA 30040-9202
(770) 205-5720
(770) 205-5841
Mailing address
416 PIRKLE FERRY RD, STE G100, CUMMING, GA 30040-9202
(770) 205-5720
(770) 205-5841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042590
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000720277E
—
GA
Enumeration date
08/26/2005
Last updated
08/10/2011
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