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Individual

SAILAJA MUSUNURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8TH AVENUE & HAY RD, KIDSPEACE NATIONAL CENTERS BERKS CAMPUS, TEMPLE, PA 19560
(610) 929-4670
(610) 929-4686
Mailing address
527 DUBLIN DRIVE, DOWNINGTON, PA 19335
(484) 432-1857
(610) 594-2561

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA11355800
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MA11355800
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD072136L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018857210004
PA
Enumeration date
11/23/2005
Last updated
08/04/2025
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