Maraboyina, Sudhakar

Maraboyina, Sudhakar is an individual health care provider with primary practice located at 1530 Needmore Rd Ste 300, Dayton OH 45414-3969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Maraboyina, Sudhakar can be contacted via phone (937) 277-4274.

Contact Information

Primary practice address
1530 Needmore Rd Ste 300 Dayton OH 45414-3969
Fax: (937) 277-8476
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35-03-7317 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35-03-7317 Ohio

Profile Details

NPI number 1033111232
LBN Legal business name Maraboyina, Sudhakar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 23rd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033111232 NPPES
Ohio MEDICAID 0250526

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