Individual
DR. SUKUMAR PUVVALA
Active
Individual
DR. SUKUMAR PUVVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD421519
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001958935
—
PA
01
—
1468864
HIGHMARK BLUE SHIELD
PA
01
—
1530454
GATEWAY-WMG
PA
01
—
2006917
AMERIHEALTH MERCY WMG
PA
01
—
212042
JOHN HOPKINS
PA
01
—
235944
UNISON-WMG
PA
05
—
402022700
—
MD
01
—
50074893
CAPITAL BLUE CROSS WMG
PA
01
—
7581465
AETNA
PA
01
—
919374
CAREFIRST MD BCBS
MD
Enumeration date
09/26/2005
Last updated
02/09/2026
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