Provider Demographics
NPI:1992710040
Name:BURUGU, SUKANYA (MD)
Entity type:Individual
Prefix:DR
First Name:SUKANYA
Middle Name:
Last Name:BURUGU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUKANYA
Other - Middle Name:
Other - Last Name:KAPARTHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6210 E HWY 290
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1142
Mailing Address - Country:US
Mailing Address - Phone:512-988-5355
Mailing Address - Fax:512-323-0307
Practice Address - Street 1:4515 SETON CENTER PKWY STE 220
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5784
Practice Address - Country:US
Practice Address - Phone:512-338-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7674207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165121802Medicaid
TX1651218-03Medicaid
TX8J1785Medicare PIN
TX165121802Medicaid
TX1651218-03Medicaid