Individual
DR. SUHASINI GUDIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301058835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0735678
BCBSM PIN
MI
01
—
101100
GREAT LAKES HEALTH PLAN
MI
01
—
110067822
RAILROAD MEDICARE
MA
05
—
1407951569
—
MI
01
—
381870664
TAX ID
MI
01
—
4G07356781
HEALTHPLUS OF MICHIGAN
MI
01
—
700G360210
BCBSM
MI
01
—
SG058835
LICENSE
MI
Enumeration date
09/13/2006
Last updated
02/05/2009
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