Healthcare Provider Details

I. General information

NPI: 1114596384
Provider Name (Legal Business Name): SUNITHA CHOUDHRY NANNURI M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 HENDERSONVILLE RD
ASHEVILLE NC
28803-2868
US

IV. Provider business mailing address

119 HENDERSONVILLE RD
ASHEVILLE NC
28803-2868
US

V. Phone/Fax

Practice location:
  • Phone: 828-771-5500
  • Fax: 828-257-4750
Mailing address:
  • Phone: 828-771-5500
  • Fax: 828-257-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberW8060
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: