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Contact Information

SURESH R GUDUR, MD
416 PIRKLE FERRY RD
STE G100
CUMMING, GA30040-9202
 Phone: 770-205-5720
 Fax: 770-205-5841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SURESH R GUDUR · (Male)

NPI Number 1235122920
Status Active
Credentials MD
Entity Individual
Enumeration date 08/26/2005
Last updated 08/10/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 042590
  • GA Medicaid 000720277E
Hospital affiliation(s)
  • NORTH FULTON REGIONAL HOSPITAL - (Acute Care)
    3000 HOSPITAL BOULEVARD
    ROSWELL, GA 30076
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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