Organization
ASHAKIRAN J. SUNKU, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHAKIRAN J SUNKU M.D. (OWNER)
(719) 546-9500
Entity
Organization
Contact information
Practice address
1600 N GRAND AVE, SUITE: 110, PUEBLO, CO 81003-2700
(719) 546-9500
(719) 546-9503
Mailing address
1600 N GRAND AVE, SUITE: 110, PUEBLO, CO 81003-2700
(719) 546-9500
(719) 546-9503
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023552
—
CO
Enumeration date
08/15/2007
Last updated
08/15/2007
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