Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MT192011 | PA |
N | 208600000X | Surgeon | MT192011 | PA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 36671 | AL |
NPI | 1053574129 |
---|---|
Provider Name | Sudhan Nagarajan |
First Address | Gadsden, AL 35903-1140 |
Second Address | Gadsden, AL 35903-1140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 01/10/2020 |