| Ashakiran J. Sunku, M.d., Llc | |
|
1600 N Grand Ave Suite: 110 Pueblo CO 81003-2700 | |
| (719) 546-9500 | |
| (719) 546-9503 |
| Full Name | Ashakiran J. Sunku, M.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1600 N Grand Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Ashakiran J Sunku (OWNER) |
| Authorized Official Contact | 7195469500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashakiran J. Sunku, M.d., Llc 1600 N Grand Ave Suite: 110 Pueblo CO 81003-2700 Ph: (719) 546-9500 | Ashakiran J. Sunku, M.d., Llc 1600 N Grand Ave Suite: 110 Pueblo CO 81003-2700 Ph: (719) 546-9500 |
| NPI Number | 1063604874 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/15/2007 |
| Medicare PECOS PAC ID | 9032380514 |
|---|---|
| Medicare Enrollment ID | O20110913000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063604874 | NPI | - | NPPES |
| 04023552 | Medicaid | CO |
| Provider Name | Ashakiran J Sunku |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174603005 PECOS PAC ID: 8628000460 Enrollment ID: I20050901000318 |
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