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General NPI Number Information
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NPI Number | 1225244494
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Entity Type | Organization
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Legal Business Name | SUNANDA CHERUKURI MD PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 3900 W 15TH ST SUITE 205
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City | PLANO
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State | TX
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Zip | 75075-4725
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Country | US
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Telephone | 214-473-3283
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 W 15TH ST SUITE 205
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City | PLANO
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State | TX
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Zip | 75075-4725
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Country | US
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Telephone | 214-473-3283
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | SUNANDA CHERUKURI
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Credential | M.D.
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Telephone | 214-473-3283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L2841
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License Number State | TX
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