Individual
DR. SUNIL KUMAR GOLLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SUITE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-6017
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32412
SC
207R00000X
Internal Medicine Physician
MT190536
PA
208M00000X
Hospitalist Physician
Primary
32412
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-32412
SC CONTROLLED SUBSTANCE
SC
01
—
32412
SC MEDICAL LICENSE
—
05
—
324125
—
SC
05
—
5916345
—
NC
01
—
P00869630
RAILROAD MEDICARE
SC
Enumeration date
12/11/2007
Last updated
03/07/2023
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