Individual
DR. SUTOIDEM AKPANUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1249 15TH ST, SUITE 2000, HUNTINGTON, WV 25701-3662
(304) 691-1000
(304) 691-1693
Mailing address
1249 15TH ST, SUITE 2000, HUNTINGTON, WV 25701-3662
(304) 691-1000
(304) 691-1693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25843
WV
207R00000X
Internal Medicine Physician
35093758
OH
207R00000X
Internal Medicine Physician
BM9528324Q071
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000614883
ANTHEM
OH
Enumeration date
11/19/2007
Last updated
07/16/2014
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