Individual provider · Type 1 NPI
Indu Mago Sud, MD
Addiction Medicine (Psychiatry & Neurology) Physician · Ashton, MD
NPI number
1174634869
Active
Practice location
17958 Pond Rd
Ashton, MD 20861-9756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | D0020769 (MD) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1174634869
Indu Mago Sud, MD's National Provider Identifier is 1174634869, issued on Aug 31, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Ashton, MD. The record was last updated on Oct 27, 2021.