Individual
DR. KEMPANNA SUDHAKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7610 CARROLL AVE, STE. 230, TAKOMA PARK, MD 20912-6384
(301) 891-2303
(301) 891-2487
Mailing address
7610 CARROLL AVE, STE. 230, TAKOMA PARK, MD 20912-6384
(301) 891-2303
(301) 891-2487
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0019971
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79871100
—
MD
Enumeration date
02/14/2006
Last updated
02/24/2010
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