Individual
ANURAJ MAMBAZHATHU SUDHAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2407
(570) 214-9585
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD464932
PA
207R00000X
Internal Medicine Physician
MT209404
PA
208M00000X
Hospitalist Physician
Primary
MD464932
PA
Other
Enumeration date
08/06/2015
Last updated
11/17/2023
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