Provider Demographics
NPI:1578637021
Name:PUROHIT, SUNIL K (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:K
Last Name:PUROHIT
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 1:71207 HIGHWAY 21
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7121
Mailing Address - Country:US
Mailing Address - Phone:985-892-6811
Mailing Address - Fax:985-892-8767
Practice Address - Street 1:71207 HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7121
Practice Address - Country:US
Practice Address - Phone:985-892-6811
Practice Address - Fax:985-892-8767
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022744208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00266530OtherRAILROAD MEDICARE
LA1481203Medicaid
LAH36282Medicare UPIN
LAP00266530OtherRAILROAD MEDICARE