Individual
SUDAMA S THOLPADY
Active
Individual
SUDAMA S THOLPADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101026010
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019751000
DEPT OF LABOR
—
01
—
0355933
UMWA
—
01
—
096769
BCBS OF VA
—
01
—
197510
BLACK LUNG
—
05
—
6045880
—
VA
05
—
64662307
—
KY
05
—
6466230700
—
KY
01
—
83745
SOUTHERN HEALTH SERVICES
—
01
—
8524
BCBS OF KY
—
Enumeration date
08/23/2005
Last updated
11/19/2011
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