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General NPI Number Information
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NPI Number | 1093246548
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Entity Type | Individual
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Provider Name | AVINASH RAI SUKHRAM M.D
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Gender | Male
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 13607 PINE VILLA LN
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City | FORT MYERS
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State | FL
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Zip | 33912-1617
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Country | US
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Telephone | 239-424-3123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-2052
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME147034
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License Number State | FL
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