Sunkavalli, Raja Gopal
Sunkavalli, Raja Gopal is an individual health care provider with primary practice located at 2000 Professional Ct Ste C , Martinsburg WV 25401-8803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sunkavalli, Raja Gopal can be contacted via phone (304) 263-8853.Contact Information
Primary practice address
2000 Professional Ct Ste C
Martinsburg WV 25401-8803
Phone: (304) 263-8853
Fax: (304) 263-6178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125055068 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 66329 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26089 | West Virginia |
Profile Details
| NPI number | 1760615710 |
|---|---|
| LBN Legal business name | Sunkavalli, Raja Gopal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2009 |
| Last updated | Nov 8th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760615710 | NPPES |
| West Virginia | MEDICAID | 3810028050 | |
| West Virginia | Other | WV4760B987 |
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