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SUDHIN KANABAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4100
(513) 793-1032
Mailing address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4100
(513) 793-1032

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
042.0016633
VT
2084N0400X
Neurology Physician
35-077505 K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000206778
ANTHEM
OH
01
0500731
UNITED HEALTH CARE
OH
01
130024101
RAILROAD MEDICARE
OH
05
2254297
OH
01
7193269
AETNA
OH
Enumeration date
08/16/2005
Last updated
01/20/2023
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