Tholpady, Sudama S

Tholpady, Sudama S is an individual health care provider with primary practice located at 10701 Rosemary Dr Kaiser Permanente Manassas Medical Center, Manassas VA 20109-7282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tholpady, Sudama S can be contacted via phone (703) 257-3000.

Contact Information

Primary practice address
10701 Rosemary Dr Kaiser Permanente Manassas Medical Center Manassas VA 20109-7282
Phone: (703) 257-3000
Fax: (703) 257-3134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101026010 Virginia

Profile Details

NPI number 1396738621
LBN Legal business name Tholpady, Sudama S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Nov 19th, 2011 - about 14 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 1396738621 NPPES
Other 096769 BCBS OF VA
Other 8524 BCBS OF VA
Other 83745 BCBS OF VA
Other 019751000 BCBS OF VA
Other 197510 BCBS OF VA
Other 0355933 BCBS OF VA
MEDICAID 64662307 BCBS OF VA
MEDICAID 6466230700 BCBS OF VA
MEDICAID 6045880 BCBS OF VA

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