Individual
SUNITHA NAGUBILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
322 W SOUTH ST, UNION, SC 29379
(864) 429-8029
(864) 429-3515
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33770
SC
207Q00000X
Family Medicine Physician
LL33770
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337709
—
SC
01
—
SC41835019
MEDICARE PIN
SC
01
—
SC41836067
MEDICARE PIN
SC
01
—
SC41836121
MEDICARE IN
SC
01
—
SC4183H888
MEDICARE PIN
SC
Enumeration date
06/29/2011
Last updated
11/17/2020
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