Basic Information
| Provider Information | |||||||||
| NPI: | 1033318704 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CHANGAPPA | ||||||||
| FirstName: | SUNNY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8800 NORTH TRYON STREET | ||||||||
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| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28262 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 8800 N TRYON ST | ||||||||
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| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282623300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048636241 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2007 | ||||||||
| LastUpdateDate: | 01/21/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 84005 | SC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 2008-01143 | NC | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.