MEDICARE: SUNIL JOHN 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	208M00000X	Hospitalist Physician	38873	TN
2	207R00000X	Internal Medicine Physician	050530	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1821074261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNIL JOHN MD

Provider Business Mailing Address
First Line	:	PO BOX 8147
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31908-8147
Country	:	US
Telephone Number	:	706-320-2773
Fax Number	:	706-596-4226

Provider Business Practice Location Address
First Line	:	2122 MANCHESTER EXPRESSWAY
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6878
Country	:	US
Telephone Number	:	706-320-2773
Fax Number	:	706-595-4226

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

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	07/29/2015

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Directions to “ SUNIL JOHN MD” Practice Location

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