Dr. Raja Gopal Sunkavalli, M.D
Pediatrics in Martinsburg, WV. Individual provider (NPI-1).
NPI number1760615710
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1760615710
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raja Gopal Sunkavalli
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2009
- Certification date
- Nov 8, 2022
- Last updated
- Nov 8, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 26089 | WV | Yes |
| 208000000X | Pediatrics | 125055068 | IL | |
| 208000000X | Pediatrics | 66329 | GA |
Practice location
2000 Professional Ct Ste CMartinsburg, WV 25401-8803
Phone 304-263-8853 · Fax 304-263-6178
Mailing address
2500 Foundation WayMartinsburg, WV 25401-9000
Phone 304-264-9202 · Fax 304-264-9042
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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