Provider Demographics
NPI:1821521071
Name:SUNUWAR, FALGUN
Entity Type:Individual
Prefix:
First Name:FALGUN
Middle Name:
Last Name:SUNUWAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 36TH ST SE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-5580
Mailing Address - Country:US
Mailing Address - Phone:616-965-8062
Mailing Address - Fax:616-284-3263
Practice Address - Street 1:1050 36TH ST SE
Practice Address - Street 2:SUITE 400
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-5580
Practice Address - Country:US
Practice Address - Phone:616-965-8062
Practice Address - Fax:616-284-3263
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801097231104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker