Individual
SUNU GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 E MAIN STREET, SUITE 100, GREENWOOD, IN 46143-1533
(317) 889-0900
(317) 889-0922
Mailing address
916 E MAIN STREET, SUITE 100, GREENWOOD, IN 46143-1533
(317) 889-0900
(317) 889-0922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059202A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200302750
—
IN
01
—
P00459132
RAILROAD MEDICARE PIN
IN
Enumeration date
05/23/2005
Last updated
09/11/2012
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