Healthcare Provider Details

I. General information

NPI: 1881057453
Provider Name (Legal Business Name): SURESH PAUDEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 TILGHMAN DR STE 400
DUNN NC
28334-6699
US

IV. Provider business mailing address

UW HOSPITALS AND CLINICS 600 HIGHLAND AVENUE
MADISON WI
53792-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-230-7920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number82013-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2019-01881
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number2019-01881
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: