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NPI Code Detail

MEDICARE: SUNILA BYREDDY MD

MEDICARE: SUNILA BYREDDY 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
1207R00000XInternal Medicine PhysicianMD422971PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00342303OTHERPARAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275594541
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNILA BYREDDY MD
Provider Business Mailing Address
First Line : PO BOX 708610
Second Line :
City : SANDY
State : UT
Zip : 84070-8610
Country : US
Telephone Number : 800-846-5313
Fax Number : 801-352-9502
Provider Business Practice Location Address
First Line : 201 REECEVILLE RD
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-1542
Country : US
Telephone Number : 610-383-8351
Fax Number : 610-383-8024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 05/29/2008

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Directions to “ SUNILA BYREDDY MD” Practice Location

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