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Individual

DR. SUSHIL DUDDEMPUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7200 WYOMING SPRINGS DR STE 1300, ROUND ROCK, TX 78681-4306
(512) 244-2273
(512) 244-3179
Mailing address
PO BOX 10597, AUSTIN, TX 78766-1597
(512) 485-5889
(512) 420-0397

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N1309
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204471103
TX
05
204471104
TX
Enumeration date
08/06/2007
Last updated
07/24/2019
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