Healthcare Provider Details

I. General information

NPI: 1376861997
Provider Name (Legal Business Name): SUNCITY HOSPITALIST GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 01/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 ELIZABETH ST
CORPUS CHRISTI TX
78404-2235
US

IV. Provider business mailing address

PO BOX 271949
CORPUS CHRISTI TX
78427-1949
US

V. Phone/Fax

Practice location:
  • Phone: 361-881-4406
  • Fax:
Mailing address:
  • Phone: 361-884-2904
  • Fax: 361-884-1912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM1854
License Number StateTX

VIII. Authorized Official

Name: SURESH KULKARNI
Title or Position: OWNER
Credential: MD
Phone: 361-244-7353