Individual
SUNEETHA CHALLAGUNDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5206 RESEARCH DR, SAN ANTONIO, TX 78240-5251
(210) 595-5300
(210) 614-8740
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
M9915
TX
207RX0202X
Medical Oncology Physician
Primary
M9915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200505001
—
TX
05
—
200505003
—
TX
01
—
8AA844
BCBS OF TX
TX
01
—
BP1-0022437
INSTITUTIONAL PERMIT
—
01
—
P01547622
RAILROAD MEDICARE
TX
Enumeration date
06/04/2007
Last updated
07/16/2019
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