Provider Demographics
NPI:1285815811
Name:SUNNAPWAR, ABHIJIT G (MD)
Entity Type:Individual
Prefix:DR
First Name:ABHIJIT
Middle Name:G
Last Name:SUNNAPWAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11503 WHISPER BREEZE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-3524
Mailing Address - Country:US
Mailing Address - Phone:210-567-6470
Mailing Address - Fax:210-567-3294
Practice Address - Street 1:7703 FLOYD CURL DR # MC7977
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-6470
Practice Address - Fax:210-567-3294
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX422662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199404801Medicaid
TX8BB815OtherBLUE CROSS BLUE SHIELD
TX199404801Medicaid