Provider Demographics
NPI:1497778823
Name:SUNJI, ADNAN AHMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:AHMAD
Last Name:SUNJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:BILOXI VA HOSPITAL 400 VETERANS AVE.
Mailing Address - Street 2:111
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-2410
Mailing Address - Country:US
Mailing Address - Phone:228-523-5000
Mailing Address - Fax:228-523-4515
Practice Address - Street 1:400 VETERANS AVE
Practice Address - Street 2:111
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-2410
Practice Address - Country:US
Practice Address - Phone:228-523-5000
Practice Address - Fax:228-523-4515
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI32819207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32819OtherSTATE MEDICAL LICENSE