Individual
DR. SUDHAKAR NAIDU PANGULUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2702 NAVARRE AVE STE 320, OREGON, OH 43616-3224
(419) 696-5555
(419) 696-8499
Mailing address
2702 NAVARRE AVE STE 320, OREGON, OH 43616-3224
(419) 696-5555
(419) 696-8499
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35054670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655474
—
OH
Enumeration date
10/11/2005
Last updated
06/26/2019
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