Individual
DR. SUJAI DEEP NATH
Active
Individual
DR. SUJAI DEEP NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
033253
CT
2084N0400X
Neurology Physician
33507
SC
2084N0400X
Neurology Physician
DR-48179
CO
2084N0400X
Neurology Physician
Primary
ME105307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010033253CT04
ANTHEM BCBS
CT
01
—
033253
MEDICAL LICENSE
CT
05
—
102318500
—
FL
01
—
PP528
MEDICARE PIN
FL
05
—
Q33253
—
SC
Enumeration date
06/23/2005
Last updated
05/24/2024
Update your record
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