Sukhum, Pradub

Sukhum, Pradub is an individual health care provider with primary practice located at 1200 6Th Ave N , Saint Cloud MN 56303-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sukhum, Pradub can be contacted via phone (320) 252-5131.

Contact Information

Primary practice address
1200 6Th Ave N Saint Cloud MN 56303-2735
Phone: (320) 252-5131
Fax: (320) 240-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20098 Minnesota

Profile Details

NPI number 1679568687
LBN Legal business name Sukhum, Pradub
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jul 8th, 2007 - about 17 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 1679568687 NPPES
Other 6D091SU BLUE CROSS BLUE SHIELD
Other 600816 BLUE CROSS BLUE SHIELD
Other 2114056 BLUE CROSS BLUE SHIELD
Other 2528849 BLUE CROSS BLUE SHIELD
Other 986029 BLUE CROSS BLUE SHIELD
Other 109310 BLUE CROSS BLUE SHIELD
Other HP25524 BLUE CROSS BLUE SHIELD

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