Individual
SUDAN DEUSKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 ELMS CENTRE RD, N CHARLESTON, SC 29406-9844
(843) 572-7727
(843) 569-5872
Mailing address
PO BOX 118008, CHARLESTON, SC 29423-8008
(843) 572-7727
(843) 569-5881
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME198360
SC
2085N0904X
Nuclear Radiology Physician
ME198360
SC
2085P0229X
Pediatric Radiology Physician
ME198360
SC
2085R0202X
Diagnostic Radiology Physician
Primary
ME198360
SC
2085R0204X
Vascular & Interventional Radiology Physician
ME198360
SC
2085U0001X
Diagnostic Ultrasound Physician
ME198360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198360
—
SC
01
—
GP1551
MEDICAID GROUP
SC
01
—
GP2858
MEDICAID GROUP
SC
01
—
GP2906
MEDICAID GROUP
SC
01
—
GP3659
MEDICAID GROUP
SC
01
—
GP5367
MEDICAID GROUP
SC
01
—
GP5421
MEDICAID GROUP
SC
01
—
P00689235
MEDICARE RR
SC
Enumeration date
08/07/2006
Last updated
03/06/2013
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