Madaiah, Suguna Devi

Madaiah, Suguna Devi is an individual health care provider with primary practice located at 3344 N Futrall Dr , Fayetteville AR 72703-4057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Madaiah, Suguna Devi can be contacted via phone (479) 521-8200.

Contact Information

Primary practice address
3344 N Futrall Dr Fayetteville AR 72703-4057
Phone: (479) 521-8200
Fax: (479) 582-7310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-3604 Arkansas

Profile Details

NPI number 1891731881
LBN Legal business name Madaiah, Suguna Devi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 27th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891731881 NPPES
Arkansas Other P00211359 RR MCR
Arkansas Other 5M543 RR MCR

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