Provider Demographics
NPI:1891743019
Name:FINCH, SUDHIR EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:SUDHIR
Middle Name:EUGENE
Last Name:FINCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 W CHARLESTON BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1983
Mailing Address - Country:US
Mailing Address - Phone:702-395-7095
Mailing Address - Fax:702-395-3502
Practice Address - Street 1:1325 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1007
Practice Address - Country:US
Practice Address - Phone:605-322-3440
Practice Address - Fax:702-395-3502
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD9646207R00000X, 2080P0203X
NV117102080P0203X
NC2001013362080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508419Medicaid
SD6701760Medicaid
NC8912955Medicaid
NV100508419Medicaid