Sudan, Madhu
Sudan, Madhu is an individual health care provider with primary practice located at 500 W Badillo St , Covina CA 91722-3762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Sudan, Madhu can be contacted via phone (626) 915-6683.Contact Information
Primary practice address
500 W Badillo St
Covina CA 91722-3762
Phone: (626) 915-6683
Fax: (626) 915-6684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A-31769 | California |
Profile Details
| NPI number | 1679674923 |
|---|---|
| LBN Legal business name | Sudan, Madhu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679674923 | NPPES |
| California | MEDICAID | 00A317690 |
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