Puvvala, Sukumar

Puvvala, Sukumar is an individual health care provider with primary practice located at 35 Monument Rd Suite 201, York PA 17403-5074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Puvvala, Sukumar can be contacted via phone (717) 812-4083.

Contact Information

Primary practice address
35 Monument Rd Suite 201 York PA 17403-5074
Phone: (717) 812-4083
Fax: (717) 812-2244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD421519 Pennsylvania

Profile Details

NPI number 1164418075
LBN Legal business name Puvvala, Sukumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Oct 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164418075 NPPES
Pennsylvania MEDICAID 001958935
Pennsylvania MEDICAID 402022700
Pennsylvania Other 7581465
Pennsylvania Other 50074893
Pennsylvania Other 919374
Pennsylvania Other 235944
Pennsylvania Other 1468864
Pennsylvania Other 1530454
Pennsylvania Other 2006917
Pennsylvania Other 212042

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