Basic Information
Provider Information
NPI: 1811126303
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAGALINGAM
FirstName: SUDHA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1230 S CHERRYBELL STRA
Address2:  
City: TUCSON
State: AZ
PostalCode: 857131907
CountryCode: US
TelephoneNumber: 5206288287
FaxNumber: 5203092560
Practice Location
Address1: 1230 S CHERRYBELL STRA
Address2:  
City: TUCSON
State: AZ
PostalCode: 857131907
CountryCode: US
TelephoneNumber: 5206288287
FaxNumber: 5203092560
Other Information
ProviderEnumerationDate: 07/06/2009
LastUpdateDate: 12/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X50100AZY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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