Indu Mago Sud, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

D0020769 Issued in MD

Practice address

17958 Pond Rd
Ashton, MD 20861-9756

Phone

(301) 774-1987

NPI assigned

Aug 31, 2006

Last updated

Oct 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samuel Berkowitz, PH.D., Inc.

  • Clinical Psychologist
  • Ellicott City, MD
  • NPI 1043417330
  NPD (past)
• WJWR Physicians Associates Inc

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1154551596
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1174634869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17958 POND RD",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208619756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17958 POND RD",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208619756",
            "telephone_number": "301-774-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUD",
        "first_name": "INDU",
        "middle_name": "MAGO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MD",
            "license": "D0020769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelo Gayheart Pope Jr., D.D.S.
• Lauren Emily Robertson, LCSW
• Curtis Rosebraugh, M.D.
• Shore Health Services LLC
• Beenish Siddique, DMD
• Nancy Takahashi, M. AC, L. AC.
• Kathy Wu, LGPC
• Danice Young, LCSW-C

• Addiction Medicine (Psychiatry & Neurology) Physician in Ashton, MD
• Providers in Ashton, MD by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.