Provider Demographics
NPI:1235527284
Name:SUNKARA, SASI KUMAR
Entity Type:Individual
Prefix:DR
First Name:SASI
Middle Name:KUMAR
Last Name:SUNKARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8217 RANCHVIEW DR
Mailing Address - Street 2:APT#2001
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-9357
Mailing Address - Country:US
Mailing Address - Phone:716-435-4058
Mailing Address - Fax:
Practice Address - Street 1:2440 N JOSEY LN
Practice Address - Street 2:STE. 201
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1668
Practice Address - Country:US
Practice Address - Phone:972-242-0696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-29
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX285431223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics