Sukumar Puvvala in York - Diagnostic Radiology

Sukumar Puvvala - NPI 1164418075

Sukumar Puvvala is a Diagnostic Radiology in York, Pennsylvania. Sukumar Puvvala practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Sukumar Puvvala is 1164418075. The last update date is 2015-10-27.

Sukumar Puvvala's current location address is 3421 Concord Rd, York, Pennsylvania. You can contact this provider via phone number 7178124083 and fax number 7178122244. The mailing address for Sukumar Puvvala is 3421 Concord Rd, York, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Sukumar Puvvala
Address 3421 Concord Rd, York, Pennsylvania
Phone Number 7178124083
Fax Number 7178122244
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1164418075
Provider Enumeration Date 2005-09-26
Last Updated Date 2015-10-27

Provider Mailing Address Detail

Address 3421 Concord Rd
City York
State Pennsylvania (PA)
Post Code 174029001
Phone Number 7178124083
Fax Number 7178122244

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No MD421519
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1958935 PA --
402022700 MD --
7581465 PA AETNA
50074893 PA CAPITAL BLUE CROSS WMG
919374 MD CAREFIRST MD BCBS
235944 PA UNISON-WMG
1468864 PA HIGHMARK BLUE SHIELD
1530454 PA GATEWAY-WMG
2006917 PA AMERIHEALTH MERCY WMG
212042 PA JOHN HOPKINS

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FAQs about Sukumar Puvvala

What is the Sukumar Puvvala's unique identification number?

The Sukumar Puvvala has been assigned the NPI (National Provider Identifier) Number 1164418075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Sukumar Puvvala's facilities are situated?

The facilities of Sukumar Puvvala are physically located at the following address: 3421 Concord Rd, York, PA, 174029001.

What is the Sukumar Puvvala's specialty and taxonomy code?

The Sukumar Puvvala's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did the Sukumar Puvvala receive the assignment of its 1164418075 from the Centers for Medicare & Medicaid Services?

The Sukumar Puvvala was issued its 1164418075 by the Centers for Medicare & Medicaid Services on 2005-09-26.

As of what date were the Sukumar Puvvala's details last updated?

The information pertaining to the Sukumar Puvvala, including its address, specialty, and other details, was most recently updated on 2015-10-27.

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