Individual
MR. BILUGALI SUNDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 16TH ST, STE 4, BAY CITY, MI 48708-7609
(989) 892-2517
(989) 892-4860
Mailing address
2110 16TH ST, STE 4, BAY CITY, MI 48708-7609
(989) 892-2517
(989) 892-4860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BS038946
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821090
—
MI
01
—
3505922
HEALTH PLUS
MI
01
—
350Z96028
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/11/2006
Last updated
07/09/2007
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