Individual
ANUP SUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
G3346 BEECHER RD, FLINT, MI 48532
(810) 733-2481
(810) 733-2482
Mailing address
G3346 BEECHER RD, FLINT, MI 48532
(810) 733-2481
(810) 733-2482
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036153856
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
29909
WV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301046199
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
622
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1805720 TYPE 10
—
MI
01
—
3302521291
BCBS
—
Enumeration date
07/12/2006
Last updated
02/10/2025
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