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General NPI Number Information
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NPI Number | 1760822738
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Entity Type | Individual
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Provider Name | SUNIL KUMAR BATLAHALLY VENKATARAYAPPA M.D.,
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Gender | Male
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Dates
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Enumeration Date | 07/04/2013
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1200 N BEAVER ST
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3118
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Country | US
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Telephone | 928-779-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 5151 N 9TH AVE INTENSIVE CARE NURSERY, 2ND FLOOR
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City | PENSACOLA
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State | FL
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Zip | 32504-8721
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Country | US
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Telephone | 305-206-4687
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 18948
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 161059
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 18360
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 77319
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License Number State | AZ
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