Individual
DR. SUJAN TEEGALA SUDARSHAN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-5175
(479) 314-3185
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-5175
(479) 314-3185
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E12823
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
07/28/2020
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