Dr Donald J Sudy, MD is a
Phlebology physician based in Charlotte, North Carolina. Dr Donald J Sudy is licensed to practice in North Carolina (license number 200201009) and his current practice location is 5821 Fairview Rd Ste 115, Charlotte, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 643-2205.
NPI number for Dr Donald J Sudy is 1174705396 and his current mailing address is 5821 Fairview Rd Ste 115, Charlotte, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174705396.
Physician's Profile
Full Name | Dr Donald J Sudy |
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Gender | Male |
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Speciality | Phlebology |
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Location | 5821 Fairview Rd Ste 115, Charlotte, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174705396
- Provider Enumeration Date: 11/29/2007
- Last Update Date: 10/07/2024
Medical Identifiers
Medical identifiers for Dr Donald J Sudy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174705396 | NPI | - | NPPES |
89131YC | Medicaid | NC | |
7019449 | Other | | AETNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 200201009 (North Carolina) | Secondary |
202K00000X | Phlebology | 200201009 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Donald J Sudy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Donald J Sudy, MD 5821 Fairview Rd Ste 115, Charlotte, NC 28209-3649 Ph: (704) 643-2205 | Dr Donald J Sudy, MD 5821 Fairview Rd Ste 115, Charlotte, NC 28209-3649 Ph: (704) 643-2205 |
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