| Sunil Reddy Cheruku, Md, Pa | |
|
900 E 30th St Ste 109 Austin TX 78705-3323 | |
| (512) 544-5555 | |
| (512) 544-4143 |
| Full Name | Sunil Reddy Cheruku, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 E 30th St Ste 109, Austin, Texas |
| Authorized Official Name and Position | Sunil Reddy Cheruku (PRESIDENT) |
| Authorized Official Contact | 5127501535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunil Reddy Cheruku, Md, Pa 1918 Leander Rd Georgetown TX 78628-8835 Ph: (737) 808-4561 | Sunil Reddy Cheruku, Md, Pa 900 E 30th St Ste 109 Austin TX 78705-3323 Ph: (512) 544-5555 |
| NPI Number | 1013063817 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/10/2022 |
| Medicare PECOS PAC ID | 9830139195 |
|---|---|
| Medicare Enrollment ID | O20050505000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013063817 | NPI | - | NPPES |
| 1466203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Katharina Hathaway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346224094 PECOS PAC ID: 0840270658 Enrollment ID: I20040722000661 |
| Provider Name | Erin Haraway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376501528 PECOS PAC ID: 0446294417 Enrollment ID: I20050610000888 |
| Provider Name | Sunil R Cheruku |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235173345 PECOS PAC ID: 7618917980 Enrollment ID: I20071003000798 |
| Provider Name | Padmaja Cherukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073849287 PECOS PAC ID: 6305892985 Enrollment ID: I20180521002064 |
| Provider Name | Sarah Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406246 PECOS PAC ID: 4688925928 Enrollment ID: I20180925002962 |
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