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Individual

DR. AMIT SINGH SUDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
45407
CO
2085R0204X
Vascular & Interventional Radiology Physician
A75980
CA
2085R0204X
Vascular & Interventional Radiology Physician
ME94234
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019194
KAISER COMMERCIAL NUMBER
CO
01
29389
BLUE CROSS BLUE SHIELD
FL
05
87858231
CO
Enumeration date
09/22/2005
Last updated
06/18/2021
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