Individual
SUDHEER SANIKOMMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 217-4300
(717) 217-4217
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437679
PA
208M00000X
Hospitalist Physician
D69737
MD
208M00000X
Hospitalist Physician
Primary
MD437679
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103313674
—
PA
01
—
MD437679
PA MEDICAL LICENSE
PA
Enumeration date
05/22/2008
Last updated
02/05/2020
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