Doctor Name: | SHILPA SUNKARA |
NPI Number: | 1669751848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MT 198807 |
Business Practice Address: | 13395 N Marana Main St Marana, AZ - 856537008 |
Business Phone Number: | 5206824111 |
Business Fax Number: | 5206823817 |
Mailing Address: | Po Box 188, MARANA |
State: | AZ |
Postal Code: | 856530188 |
Phone Number: | 5206824111 |
Fax Number: | 5208183630 |
NPI Enumeration Date: | 08/05/2011 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MT 198807 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |