Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHYAM SUNDER POLUDASU, M.D
ActiveDR. SHYAM SUNDER POLUDASU, M.D is a Hospice and Palliative Medicine healthcare provider located in STILLWATER, Oklahoma. NPI 1811171705 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · STILLWATER, OK
Registration Details
- NPI Number
- 1811171705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2007 (18.67405683241 yrs)
- Last Updated
- Aug 9, 2024
- Licenses
-
28749 (OK)28749 (OK)
Practice Information
- Address
-
1323 W 6TH AVE STE 201STILLWATER, OK, 740744306Browse OK providers · Browse ZIP 74074
- Phone
- 4055333010
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Hospice and Palliative Medicine
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.