MEDICARE: DR. SUDHIR ARUMANLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	1443159	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	300B560780	OTHER	MI	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265476097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUDHIR ARUMANLA MD

Provider Business Mailing Address
First Line	:	501 S BALLENGER HWY
Second Line	:	STE B
City	:	FLINT
State	:	MI
Zip	:	48532-3641
Country	:	US
Telephone Number	:	810-342-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 S BALLENGER HWY
Second Line	:	STE B
City	:	FLINT
State	:	MI
Zip	:	48532-3641
Country	:	US
Telephone Number	:	810-342-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	08/27/2025

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