Individual
CHARLES J SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00170
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033161
ANTHEM
KY
01
—
27-00336
UHC
KY
01
—
4491387
AETNA
KY
05
—
80001704
—
KY
05
—
90260191
—
KY
Enumeration date
07/18/2005
Last updated
04/26/2017
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