Provider Demographics
NPI:1639301799
Name:BHAMIDIPATY, SUNITA V (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNITA
Middle Name:V
Last Name:BHAMIDIPATY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 E SYLVANE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-5527
Mailing Address - Country:US
Mailing Address - Phone:520-546-4094
Mailing Address - Fax:520-546-4095
Practice Address - Street 1:7230 E SYLVANE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-5527
Practice Address - Country:US
Practice Address - Phone:520-546-4094
Practice Address - Fax:520-546-4095
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ42375207L00000X
CAA73921207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology