Individual
DR. SUNDAR VENKATA CHERUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 491-9480
Mailing address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292537
MA
207R00000X
Internal Medicine Physician
Primary
OP61387015
WA
207R00000X
Internal Medicine Physician
T6534
TX
Other
Enumeration date
04/11/2019
Last updated
08/14/2025
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