Individual
SUNIL PRAKASH DEOKULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2149 W 24TH ST STE 1, YUMA, AZ 85364-6136
(928) 726-4120
(928) 341-0315
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(480) 892-8400
(480) 654-2868
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
46840
AZ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
46840
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
785493
—
AZ
Enumeration date
11/20/2008
Last updated
04/30/2019
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