Individual
MADHU SUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BADILLO ST, COVINA, CA 91722-3762
(626) 915-6683
(626) 915-6684
Mailing address
500 W BADILLO ST, COVINA, CA 91722-3762
(626) 915-6683
(626) 915-6684
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A-31769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A317690
—
CA
Enumeration date
09/26/2006
Last updated
09/28/2020
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