Doctor Name: | DR. VENKATA CHAITHANYA KUMAR SUNKESULA |
NPI Number: | 1730560160 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MS |
License Number: | MT208132 |
Business Practice Address: | 1500 Lansdowne Avenue Darby, PA - 19023 |
Business Phone Number: | 6102374000 |
Business Fax Number: | |
Mailing Address: | 1775 Lakeview Rd, CLEVELAND |
State: | OH |
Postal Code: | 441124630 |
Phone Number: | 2167923800 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT208132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |