{
"Npi": {
"NPI": "1134214794",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KUNAMNENI",
"FirstName": "SUDHAKARA",
"MiddleName": "R.",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.,",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "900 N PORTER AVE",
"SecondLineMailingAddress": "SUITE 208A",
"MailingAddressCityName": "NORMAN",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73071-6425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-579-1444",
"MailingAddressFaxNumber": "405-579-1448",
"FirstLinePracticeLocationAddress": "900 N PORTER AVE",
"SecondLinePracticeLocationAddress": "SUITE 208A",
"PracticeLocationAddressCityName": "NORMAN",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73071-6425",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-579-1444",
"PracticeLocationAddressFaxNumber": "405-579-1448",
"EnumerationDate": "10/03/2006",
"LastUpdateDate": "03/07/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2080N0001X",
"TaxonomyName": "Neonatal-Perinatal Medicine Physician",
"LicenseNumber": "17550",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}