Provider Demographics
NPI:1558334649
Name:PARCHURI, SUBHA (MD)
Entity Type:Individual
Prefix:
First Name:SUBHA
Middle Name:
Last Name:PARCHURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUBHA
Other - Middle Name:
Other - Last Name:SUNKARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:150 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1741
Mailing Address - Country:US
Mailing Address - Phone:864-224-3551
Mailing Address - Fax:
Practice Address - Street 1:12647 OLIVE BLVD
Practice Address - Street 2:SPECTRUM HEALTHCARE RESOURCES
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6345
Practice Address - Country:US
Practice Address - Phone:314-744-4100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27732207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease