Provider Demographics
NPI:1558558999
Name:PRAKASH CHAND, SUNIL K (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:K
Last Name:PRAKASH CHAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 FOREST HILLS RD SW
Mailing Address - Street 2:SUITE D
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4448
Mailing Address - Country:US
Mailing Address - Phone:252-243-7161
Mailing Address - Fax:252-243-7242
Practice Address - Street 1:2605 FOREST HILLS RD SW
Practice Address - Street 2:SUITE D
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4448
Practice Address - Country:US
Practice Address - Phone:252-243-7161
Practice Address - Fax:252-243-7242
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002300207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2008-00956OtherNC MEDICAL LICENSE