Mr. Sudha Sagar Bennuri
MD | Pediatrics | Male
Mr. Sudha Sagar Bennuri, MD is a Northport, Alabama based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Sudha Sagar Bennuri is
2701 20th Avenue, Northport, Alabama - 35476-3832. He can be contacted on phone at
205-333-5900 and fax number 205-333-6090.
Mr. Sudha Sagar Bennuri is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Sudha Sagar Bennuri is
1619076866 which was assigned by NPPES on 22 Sep, 2006 and it was last updated on 14 Mar, 2023.
Mr. Sudha Sagar Bennuri license number is
22564 for Pediatrics (208000000X) in Alabama.
Mr. Sudha Sagar Bennuri is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Sudha Sagar Bennuri basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Sudha Sagar Bennuri |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mr. Sudha Sagar Bennuri address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2701 20th Avenue
Northport, AL, 35476-3832
United States |
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| Phone Number : | 205-333-5900 |
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| Fax Number : | 205-333-6090 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619076866 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Sep, 2006 |
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| Last Updated On : | 14 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Sudha Sagar Bennuri are as mentioned. Primary taxonomy code for Mr. Sudha Sagar Bennuri, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 22564 | AL |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Sudha Sagar Bennuri such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 009978025 | MEDICAID | AL | |
| H11809 | MEDICARE UPIN | AL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2701 20th Avenue
Northport, AL, 35476-3832
United States |
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| Phone Number : | 205-333-8900 |
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| Fax Number : | 205-333-6090 |
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Business Location:
Patients can refer following map for directions to
Mr. Sudha Sagar Bennuri practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.