MEDICARE: DR. SUNITHA RAO AYYAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0435746	KS
2	207R00000X	Internal Medicine Physician	R72327	AZ
3	207R00000X	Internal Medicine Physician	04-35746	KS
4	207R00000X	Internal Medicine Physician	ME143813	FL
5	207R00000X	Internal Medicine Physician	Q6362	TX

General Provider Information

NPI Number	:	1093988818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNITHA RAO AYYAR MD

Provider Business Mailing Address
First Line	:	9450 SW GEMINI DR, PMB 49084
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97008
Country	:	US
Telephone Number	:	832-376-3921
Fax Number	:	713-461-5307

Provider Business Practice Location Address
First Line	:	11529 S HIGHWAY 6
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4932
Country	:	US
Telephone Number	:	832-376-3921
Fax Number	:	713-461-5307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2008
Last Update Date	:	04/11/2025

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