Individual
DR. THERESA H CUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 TAYLOR ST, COLUMBIA, SC 29201-2915
(803) 296-5137
(803) 296-5499
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15601
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
15601
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
15601
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050028874
RR MEDICARE
SC
01
—
156011
SELECT HEALTH
SC
05
—
156011
—
SC
01
—
2001248
CCP
SC
01
—
4229855
AETNA
SC
01
—
77839
MEDCOST
SC
Enumeration date
10/16/2006
Last updated
02/11/2021
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