Individual provider · NPI-1
Sukumar Gundapaneni
Hospitalist · Cypress, TX
NPI number1750856902
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1750856902
- Entity type
- Individual (NPI-1)
- Name
- Sukumar Gundapaneni
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2018
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | V0409 | TX | Yes |
| 207R00000X | Internal Medicine | V0409 | TX | |
| 207R00000X | Internal Medicine | 4301504750 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 57.246895 | OH |
Practice location
27800 Northwest Fwy Ste 4201Cypress, TX 77433-5302
Phone 346-231-4628 · Fax 346-644-8144
Mailing address
37000 Grand River Ave Ste 310Farmington Hills, MI 48335-2868
Other practice locations
2351 E 22nd St Ste 338w
Cleveland, OH 44115-3111
Cleveland, OH 44115-3111
Phone 216-861-6200 · Fax 216-363-7490
37000 Grand River Ave Ste 310
Farmington Hills, MI 48335-2868
Farmington Hills, MI 48335-2868
Phone 248-536-2127
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