Boris Sudel
MD | Pediatric Gastroenterology | Male
Boris Sudel, MD is a Minneapolis, Minnesota based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Boris Sudel is
Po Box 14909, Minneapolis, Minnesota - 55414-0909. He can be contacted on phone at
612-871-1145 and fax number 612-870-5812.
Boris Sudel is a sole proprietor of his business.
NPI number (Unique professional ID) for Boris Sudel is
1336349778 which was assigned by NPPES on 24 Jul, 2007 and it was last updated on 22 Aug, 2022.
Boris Sudel license number is
49457 for Pediatrics (2080P0206X) in Minnesota.
Boris Sudel specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Boris Sudel basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Boris Sudel |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Boris Sudel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Po Box 14909
Minneapolis, MN, 55414-0909
United States |
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| Phone Number : | 612-871-1145 |
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| Fax Number : | 612-870-5812 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1336349778 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2007 |
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| Last Updated On : | 22 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boris Sudel are as mentioned. Primary taxonomy code for Boris Sudel, MD is
2080P0206X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 49457 | MN |
| 2080P0206X | Pediatrics | Yes | 49457 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Boris Sudel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 139276 | Other (non-Medicare) | MN | UCare |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3001 Broadway St Ne Ste 120
Minneapolis, MN, 55413-2196
United States |
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| Phone Number : | 612-871-1145 |
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Business Location:
Patients can refer following map for directions to
Boris Sudel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.