Physician Compare National (NPI:1174634869)

HEALTHCARE PROVIDER: INDU MAGO SUD MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1174634869
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749357689
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131017001022
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SUD
	Individual professional last name
Provider First Name	INDU
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1964
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13104 BELLEVUE ST
	Group Practice or individual's line 1 address
City	SILVER SPRING
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	209041701
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3015859832
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y