Sudhakar, Kempanna

Sudhakar, Kempanna is an sole proprietor health care provider with primary practice located at 7610 Carroll Ave Ste. 230, Takoma Park MD 20912-6384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sudhakar, Kempanna can be contacted via phone (301) 891-2303.

Contact Information

Primary practice address
7610 Carroll Ave Ste. 230 Takoma Park MD 20912-6384
Fax: (301) 891-2487
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D0019971 Maryland

Profile Details

NPI number 1427022888
LBN Legal business name Sudhakar, Kempanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Feb 24th, 2010 - about 15 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 1427022888 NPPES
Maryland MEDICAID 79871100

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