Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SURESH R GUDUR, MD
Deactivated Sole ProprietorSURESH R GUDUR, MD is a Internal Medicine healthcare provider located in CUMMING, Georgia. NPI 1235122920 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · CUMMING, GA
This NPI has been deactivated.
The record was deactivated on March 27, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1235122920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2005 (0.58356164383562 yrs)
- Last Updated
- Aug 10, 2011
- Deactivated
- Mar 27, 2006
- License
-
042590 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
416 PIRKLE FERRY RDSTE G100CUMMING, GA, 300409202Browse GA providers · Browse ZIP 30040
- Phone
- 7702055720
- Fax
- 7702055841
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in CUMMING, GA
| Name | Credential | NPI |
|---|---|---|
| DR. FERNANDO R. ALVAREZ-BOGNAR | M.D. | 1053318725 |
| XIAOQING GUO | MD | 1699776641 |
| UMA JAMCHED | MD | 1265434252 |
| DR. JUSTINE ELODIA HENAO | D.O. | 1902808645 |
| DR. MALCOLM M TRAXLER JR. | MD | 1124013172 |
| DR. KELLEY A. STAHL | MD | 1760464549 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.