Individual
SUNIL KUMAR GOLLAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 HADLEY RD STE 100, MOORESVILLE, IN 46158-1788
(317) 834-3263
(317) 834-5194
Mailing address
PO BOX 781008, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01053653A
IN
207RN0300X
Nephrology Physician
Primary
01053653A
IN
208M00000X
Hospitalist Physician
01053653A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218535
ANTHEM NUMBER
IN
05
—
200372560A
—
IN
Enumeration date
06/30/2005
Last updated
06/12/2026
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