Individual
DR. SUHAS R PINNAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-3880
(256) 265-3886
Mailing address
PO BOX 21007, HUNTSVILLE, AL 35813-5007
(256) 265-3880
(256) 265-3886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35371
AL
207Q00000X
Family Medicine Physician
53987
TN
208M00000X
Hospitalist Physician
Primary
35371
AL
208M00000X
Hospitalist Physician
53987
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I080504
MEDICARE PROVIDER NUMBER
AL
Enumeration date
07/27/2009
Last updated
10/16/2024
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