Basic Information
Provider Information
NPI: 1891743019
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINCH
FirstName: SUDHIR
MiddleName: EUGENE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3216 W CHARLESTON BLVD STE D
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891021983
CountryCode: US
TelephoneNumber: 7023957095
FaxNumber: 7023953502
Practice Location
Address1: 1325 S CLIFF AVE
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571051007
CountryCode: US
TelephoneNumber: 6053223440
FaxNumber: 7023953502
Other Information
ProviderEnumerationDate: 05/04/2006
LastUpdateDate: 08/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X9646SDN Allopathic & Osteopathic PhysiciansInternal Medicine 
2080P0203X11710NVN Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
2080P0203X200101336NCN Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
2080P0203X9646SDY Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine

ID Information
IDTypeStateIssuerDescription
10050841905NV MEDICAID
670176005SD MEDICAID
891295505NC MEDICAID


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