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NPI Code Detail

MEDICARE: SUNIL KUMAR GUJRATHI M.D.

MEDICARE: SUNIL KUMAR GUJRATHI M.D.
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
12085R0202XDiagnostic Radiology Physician25MA11924600NJ
22085R0202XDiagnostic Radiology Physician235600NY
32085R0204XVascular & Interventional Radiology Physician13205NV
42085R0202XDiagnostic Radiology PhysicianC191344CA
52085B0100XBody Imaging Physician235600NY
62085R0202XDiagnostic Radiology PhysicianME164921FL
72085R0202XDiagnostic Radiology PhysicianMD-23935-0HI
82085R0202XDiagnostic Radiology Physician70805AZ
92085R0202XDiagnostic Radiology Physician13205NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00776738OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982706974
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNIL KUMAR GUJRATHI M.D.
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT STE 202
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4536
Country : US
Telephone Number : 877-406-2916
Fax Number :
Provider Business Practice Location Address
First Line : 4101 WAGON TRAIL AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-4426
Country : US
Telephone Number : 702-942-4123
Fax Number : 702-942-4124
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 09/10/2025

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Directions to “ SUNIL KUMAR GUJRATHI M.D.” Practice Location

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