Individual
DR. SUKUMAR PUVVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MONUMENT RD, SUITE 201, YORK, PA 17403-5074
(717) 812-4083
(717) 812-2244
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 815-1405
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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