Provider Demographics
NPI:1407923337
Name:PHILIPS, SUNILA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SUNILA
Middle Name:
Last Name:PHILIPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUNILA
Other - Middle Name:P
Other - Last Name:ABRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3120 HUDSON XING STE B2
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6555
Mailing Address - Country:US
Mailing Address - Phone:469-476-2000
Mailing Address - Fax:469-476-2001
Practice Address - Street 1:3120 HUDSON CROSSING
Practice Address - Street 2:SUITE # B2
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6555
Practice Address - Country:US
Practice Address - Phone:469-726-2000
Practice Address - Fax:469-476-2001
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233497207Q00000X, 207QG0300X
TXN9113207QG0300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL0180905OtherDPS
NY02618422Medicaid
NY02618422Medicaid