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Contact Information

SUDHEER R KOYAGURA, M.D., MPH
601 W MAPLE AVE
SUITE 704
SPRINGDALE, AR72764-5335
 Phone: 479-757-3717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SUDHEER R KOYAGURA · (Male)

NPI # 1528261617
Status Active
Credentials M.D., MPH
Entity Individual
Enumeration date 06/07/2007
Last updated 06/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E6602
  • AR License # E6603
  • OK License # 31671
Hospital affiliation(s)
  • NW ARKANSAS HOSPITALS LLC - (Acute Care)
    609 WEST MAPLE AVENUE
    SPRINGDALE, AR 72764
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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