| Doctor Name: | DR. SUDESH TAYAL |
| NPI Number: | 1285678417 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 0101032804 |
| Business Practice Address: | 128 Jefferson St Waldron Hall - Radford University Clinics Radford, VA - 24142 |
| Business Phone Number: | 5408317660 |
| Business Fax Number: | |
| Mailing Address: | 201 Wild Partridge Ln, RADFORD |
| State: | VA |
| Postal Code: | 241414210 |
| Phone Number: | 5406390035 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 0101032804 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |