Dr Raja Gopal Sunkavalli, MD | |
2000 Professional Ct Ste C, Martinsburg, WV 25401-8803 | |
(304) 263-8853 | |
(304) 263-6178 |
Full Name | Dr Raja Gopal Sunkavalli |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2000 Professional Ct Ste C, Martinsburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760615710 | NPI | - | NPPES |
3810028050 | Medicaid | WV | |
WV4760B987 | Other | WV | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125055068 (Illinois) | Secondary |
208000000X | Pediatrics | 66329 (Georgia) | Secondary |
208000000X | Pediatrics | 26089 (West Virginia) | Primary |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Entity Name | University Healthcare Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659625739 PECOS PAC ID: 8325291404 Enrollment ID: O20130124000127 |
Mailing Address | Practice Location Address |
---|---|
Dr Raja Gopal Sunkavalli, MD 2500 Foundation Way, Martinsburg, WV 25401-9000 Ph: (304) 264-9202 | Dr Raja Gopal Sunkavalli, MD 2000 Professional Ct Ste C, Martinsburg, WV 25401-8803 Ph: (304) 263-8853 |
Dr. Caroline E Joe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 315 Pendleton Dr, Martinsburg, WV 25401 Phone: 304-264-9121 Fax: 304-264-9128 | |
Justina Egbichi Eke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1804 W King Street, 200, Martinsburg, WV 25401 Phone: 304-262-4525 Fax: 304-262-4205 | |
Kimrie M Donovan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 | |
Dr. Shana R Kaznoski, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1178 Shepherdstown Rd, Martinsburg, WV 25404 Phone: 304-264-9332 | |
Richard John Mier, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 99 Tavern Road, Martinsburg, WV 25401 Phone: 304-263-4999 | |
Cherish M Crawford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 Fax: 304-263-4999 |