Organization
PRASHANTH R. SUNKUREDDI, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA COOPER (PRACTICE ADMINISTRATOR)
(281) 957-9127
Entity
Organization
Contact information
Practice address
3725 E LEAGUE CITY PKWY STE 200, LEAGUE CITY, TX 77573-7374
(281) 957-9127
(281) 957-9157
Mailing address
3725 E LEAGUE CITY PKWY STE 200, LEAGUE CITY, TX 77573-7374
(281) 957-9127
(281) 957-9157
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
M1374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094QH
BC/BS
TX
01
—
DG9219
RAILROAD MEDICARE
TX
Enumeration date
10/16/2006
Last updated
03/24/2021
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