| Sunanda Cherukuri Md Pa | |
|
3900 W 15th St Suite 205 Plano TX 75075-4725 | |
| (214) 473-3283 | |
| Not Available |
| Full Name | Sunanda Cherukuri Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3900 W 15th St, Plano, Texas |
| Authorized Official Name and Position | Sunanda Cherukuri (PROVIDER) |
| Authorized Official Contact | 2144733283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunanda Cherukuri Md Pa 3900 W 15th St Suite 205 Plano TX 75075-4725 Ph: (214) 473-3283 | Sunanda Cherukuri Md Pa 3900 W 15th St Suite 205 Plano TX 75075-4725 Ph: (214) 473-3283 |
| NPI Number | 1225244494 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/11/2013 |
| Medicare PECOS PAC ID | 6002914108 |
|---|---|
| Medicare Enrollment ID | O20070613000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225244494 | NPI | - | NPPES |
| 8F5099 | Other | TX | MEDICARE |
| 150233804 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L2841 (Texas) | Primary |
| Provider Name | Sunanda Cherukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477552511 PECOS PAC ID: 2668468729 Enrollment ID: I20040423000108 |
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