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Individual

SUGUNA DEVI MADAIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
(479) 587-5890
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
(479) 587-5980

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-3604
AR
208M00000X
Hospitalist Physician
Primary
E-3604
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149503001
AR
05
200053520A
OK
01
5M543
AR BC/BS
AR
01
P00211359
RR MCR
AR
Enumeration date
06/20/2006
Last updated
02/26/2026
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