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General NPI Number Information
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NPI Number | 1912073776
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Entity Type | Organization
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Legal Business Name | CARDIOTHORACIC ASSOCIATES, P.L.C.
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Dates
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Enumeration Date | 11/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | G3346 BEECHER RD SUITE A
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City | FLINT
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State | MI
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Zip | 48532-3649
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Country | US
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Telephone | 810-733-2481
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Fax | 810-733-2482
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Provider Business Mailing Address
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Address Line | G3346 BEECHER RD SUITE A
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City | FLINT
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State | MI
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Zip | 48532-3649
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Country | US
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Telephone | 810-733-2481
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Fax | 810-733-2482
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. ANUP SUD
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Credential | M.D.
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Telephone | 810-733-2481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | B6017W
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License Number State | MI
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