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Individual

DR. SUNITHA GUDAPATI PUDHOTA

Active
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Individual

DR. SUNITHA GUDAPATI PUDHOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME94091
FL
207RG0100X
Gastroenterology Physician
MD203357
LA
207RG0100X
Gastroenterology Physician
Primary
P1484
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288404101
TX
01
8DC048
BLUE CROSS AND BLUE SHIELD OF TEXAS
TX
Enumeration date
03/29/2006
Last updated
05/29/2019
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