Sundeep Gidugu, DO
Family Medicine in Vineland, New Jersey
1104408897- Practice location
- 1505 W Sherman Ave, Vineland, NJ 08360-7059
- Phone
- 856-641-8000
- Fax
- —
- Last updated
- September 5, 2024
Sundeep Gidugu is a Family Medicine based in Vineland, NJ. Sundeep Gidugu practices in Vineland, NJ and has the professional credentials of DO. The NPI Number for Sundeep Gidugu is 1104408897 and holds a License No. 25MB12348300 (NJ). The current practice location address for Sundeep Gidugu is 1505 W Sherman Ave, Vineland, NJ 08360-7059 and can be reached out via phone at 856-641-8000.
Provider Profile Details
- NPI Number
- 1104408897
- Provider Name
- Sundeep Gidugu
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1505 W Sherman Ave, Vineland, NJ 08360-7059
- Phone Number
- 856-641-8000
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2021
- Last Update Date
- September 5, 2024
- Certification Date
- September 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1505 W Sherman Ave
Vineland, NJ 08360-7059 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-7059
- Phone Number
- 856-641-8000
Provider Business Mailing Address Details
- Address
- 1505 W Sherman Ave
Vineland, NJ 08360-7059 - City
- Vineland
- State
- NJ
- Zip
- 08360-7059
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MB12348300
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sundeep Gidugu, DO?
The NPI number of Sundeep Gidugu, DO is 1104408897. It was assigned on April 22, 2021 and is currently active in the NPPES registry.
What is the specialty of Sundeep Gidugu, DO?
Sundeep Gidugu, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB12348300.
Where does Sundeep Gidugu, DO practice?
The practice location is 1505 W Sherman Ave, Vineland, NJ 08360-7059. The office can be reached at 856-641-8000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104408897 directly on the NPPES registry website.