Sudel, Boris

Sudel, Boris is an individual health care provider with primary practice located at 3001 Broadway St Ne Ste 120 , Minneapolis MN 55413-2196. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Sudel, Boris can be contacted via phone (612) 871-1145.

Contact Information

Primary practice address
3001 Broadway St Ne Ste 120 Minneapolis MN 55413-2196
Phone: (612) 871-1145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49457 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 49457 Minnesota

Profile Details

NPI number 1336349778
LBN Legal business name Sudel, Boris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Aug 22nd, 2022 - about 2 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 1336349778 NPPES
Minnesota Other 139276 UCARE

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