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Individual

SUDHA R PATNAIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7131 RISING SUN AVE, PHILADELPHIA, PA 19111-3924
(215) 821-2305
(215) 220-2600
Mailing address
7515 STENTON AVE, PHILADELPHIA, PA 19150-3710
(267) 335-5273
(267) 335-5273

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD038790L
PA

Other

Enumeration date
06/23/2006
Last updated
06/05/2025
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