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NPI Code Detail

MEDICARE: SUNITHA VENUGOPAL MD

MEDICARE: SUNITHA VENUGOPAL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianD0057095MD

General Provider Information

NPI Number : 1720023401
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNITHA VENUGOPAL MD
Provider Business Mailing Address
First Line : 39 KENSINGTON PKWY
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1851
Country : US
Telephone Number : 410-569-7337
Fax Number : 410-569-7347
Provider Business Practice Location Address
First Line : 39 KENSINGTON PKWY
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1851
Country : US
Telephone Number : 410-569-7337
Fax Number : 410-569-7347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 01/26/2010

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Directions to “ SUNITHA VENUGOPAL MD” Practice Location

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