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DEBRA L SUDAN MD NPI 1902856651


NPI Information

NPI: 1902856651
Provider Name: DEBRA L SUDAN, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Organization: PRIVATE DIAGNOSTIC CLINIC, PLLC

PECOS Registration: Yes

Address:
2100 ERWIN RD
DURHAM, NC
ZIP 27710
Phone: (919) 684-8111
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Debra L Sudan, MD is a transplant surgery in Durham, NC with 35 years of experience. The provider is definition to come. Debra L Sudan, MD NPI is 1902856651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

2100 ERWIN RD
DURHAM, NC
ZIP 27710-001
Phone: (919) 684-8111

The NPI 1902856651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 10/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204F00000XTransplant Surgery20205NEBRASKANo
2208600000XSurgery2008-01464NORTH CAROLINANo
3204F00000XTransplant Surgery2008-01464NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147078557580MEDICAIDNEBRASKA
2267770MEDICARE ID-TYPE UNSPECIFIEDNEBRASKA
35910174MEDICAIDNORTH CAROLINA
42022807MEDICARE PINNORTH CAROLINA
5G31295MEDICARE UPINNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.