Sudan, Debra L

Sudan, Debra L is an individual health care provider with primary practice located at 2100 Erwin Rd , Durham NC 27710-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Sudan, Debra L can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
2100 Erwin Rd Durham NC 27710-0001
Phone: (919) 684-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 20205 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X 2008-01464 North Carolina
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 2008-01464 North Carolina

Profile Details

NPI number 1902856651
LBN Legal business name Sudan, Debra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 21st, 2008 - about 16 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 1902856651 NPPES
Nebraska MEDICAID 47078557580
Nebraska MEDICAID 5910174

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