Pangulur, Sudhakar Naidu

Pangulur, Sudhakar Naidu is an individual health care provider with primary practice located at 2702 Navarre Ave Ste 320 , Oregon OH 43616-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pangulur, Sudhakar Naidu can be contacted via phone (419) 696-5555.

Contact Information

Primary practice address
2702 Navarre Ave Ste 320 Oregon OH 43616-3224
Fax: (419) 696-8499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35054670 Ohio

Profile Details

NPI number 1871581256
LBN Legal business name Pangulur, Sudhakar Naidu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jun 26th, 2019 - about 5 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 1871581256 NPPES
Ohio MEDICAID 0655474

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