Individual
DR. SUSHIL KUMAR SOMPUR VASANTHKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 ELM ST N, DEPARTMENT OF CLINICAL NEUROSCIENCE, FARGO, ND 58102-2416
(701) 293-4101
(701) 293-4109
Mailing address
1919 ELM ST N, DEPARTMENT OF CLINICAL NEUROSCIENCE, FARGO, ND 58102-2416
(701) 293-4101
(701) 293-4109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RL10568
ND
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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