Provider Demographics
NPI:1093988818
Name:AYYAR, SUNITHA RAO (MD)
Entity type:Individual
Prefix:DR
First Name:SUNITHA
Middle Name:RAO
Last Name:AYYAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:SUNITHA
Other - Middle Name:GADAHAD
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9450 SW GEMINI DR, PMB 49084
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008
Mailing Address - Country:US
Mailing Address - Phone:832-376-3921
Mailing Address - Fax:713-461-5307
Practice Address - Street 1:11529 S HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4932
Practice Address - Country:US
Practice Address - Phone:832-376-3921
Practice Address - Fax:713-461-5307
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0435746207R00000X
AZR72327207R00000X
KS04-35746207R00000X
FLME143813207R00000X
TXQ6362207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine