Individual
SUJANI POONURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0290
(252) 451-0056
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0290
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
201502354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821246406
—
NC
01
—
NCR335A
MEDICARE PTAN
NC
Enumeration date
09/08/2008
Last updated
03/26/2026
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