Individual
SUJAY INAMPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 SELMA DR., WINCHESTER, VA 22601
(540) 678-2800
(540) 678-2859
Mailing address
104 SELMA DR., WINCHESTER, VA 22601
(540) 678-2800
(540) 678-2859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101249923
VA
207R00000X
Internal Medicine Physician
D66106
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101249923
LICENSE
VA
01
—
D66106
LICENSE NUMBER
MD
Enumeration date
06/14/2007
Last updated
11/25/2013
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