Basic Information
Provider Information
NPI: 1891100335
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SUNKARA
FirstName: ANUSHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11001 EXECUTIVE CENTER DR STE 200
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722114393
CountryCode: US
TelephoneNumber: 5018127215
FaxNumber: 5018127207
Practice Location
Address1: 9500 KANIS RD STE 410
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722056377
CountryCode: US
TelephoneNumber: 5012021500
FaxNumber: 5012021133
Other Information
ProviderEnumerationDate: 06/24/2014
LastUpdateDate: 08/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
390200000X TXN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RC0000XE-13958ARY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


Home