Dr BUDI NUGROHO SUGENG is a male medical professional, specializing in Pediatric Medicine. He graduated in 2005 from Mount Sinai School Of Medicine Of City University Of New York.
SOUTHCARE MEDICAL LLC
1305 N STATE ST
ABBEVILLE
LA
705102825
Tel: 3374226240
| Npi | 1649303330 |
| Pac Id | 5698999001 |
| Professional Enrollment Id | I20140604002345 |
| Last Name | SUGENG |
| First Name | BUDI |
| Middle Name | NUGROHO |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 2005 |
| Primary Specialty | PEDIATRIC MEDICINE |
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| Organization Legal Name | SOUTHCARE MEDICAL LLC |
| Group Practice Pac Id | 4789808197 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 1305 N STATE ST |
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| City | ABBEVILLE |
| State | LA |
| Zip Code | 705102825 |
| Phone Number | 3374226240 |
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| Professional Accepts Medicare Assignment | Y |
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