Individual
DR. PRASHANTH R SUNKUREDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
—
8AR710
BC/BS
TX
01
—
P00462677
RAILROAD MEDICARE
TX
Enumeration date
11/22/2005
Last updated
03/24/2021
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