Challa, Sudha
Challa, Sudha is an individual health care provider with primary practice located at 475 Seaview Ave Radiology, Staten Island NY 10305-3436. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Challa, Sudha can be contacted via phone (718) 226-9175.Contact Information
Primary practice address
475 Seaview Ave Radiology
Staten Island NY 10305-3436
Phone: (718) 226-9175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 221768 | New York |
Profile Details
| NPI number | 1386646727 |
|---|---|
| LBN Legal business name | Challa, Sudha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Apr 9th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386646727 | NPPES |
| New York | MEDICAID | 02255452 |
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