Provider Demographics
NPI:1194765743
Name:SUNKARA, DURGA PRASAD (MD)
Entity type:Individual
Prefix:MR
First Name:DURGA
Middle Name:PRASAD
Last Name:SUNKARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1612 CALLAWAY DR
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3743
Mailing Address - Country:US
Mailing Address - Phone:281-824-1480
Mailing Address - Fax:281-220-6407
Practice Address - Street 1:6243 FAIRMONT PKWY STE 203&204
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-4045
Practice Address - Country:US
Practice Address - Phone:281-487-3111
Practice Address - Fax:832-243-4362
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8389207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133495504Medicaid
TX133495504Medicaid
F78844Medicare UPIN
TX760638402OtherTIN
TXF78844Medicare UPIN