Healthcare Provider Details

I. General information

NPI: 1639090608
Provider Name (Legal Business Name): SUN MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 W HIGHLAND BLVD
INVERNESS FL
34452-4718
US

IV. Provider business mailing address

2063 N LECANTO HWY STE 1
LECANTO FL
34461-9675
US

V. Phone/Fax

Practice location:
  • Phone: 352-436-4428
  • Fax: 352-228-4903
Mailing address:
  • Phone: 352-436-4428
  • Fax: 352-228-4903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LAKSHMI NARAYANA PADALA
Title or Position: OWNER
Credential:
Phone: 352-436-4428