Provider Demographics
NPI:1922543768
Name:SUNKARA, MURALIDHAR VENKATA SATYA (PT,DPT)
Entity Type:Individual
Prefix:MR
First Name:MURALIDHAR
Middle Name:VENKATA SATYA
Last Name:SUNKARA
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:MR
Other - First Name:VENKATA
Other - Middle Name:SATYA-MURALIDHAR
Other - Last Name:SUNKARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:44862 LAFAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2549
Mailing Address - Country:US
Mailing Address - Phone:248-229-3078
Mailing Address - Fax:
Practice Address - Street 1:555 BARCLAY CIR STE 110
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4574
Practice Address - Country:US
Practice Address - Phone:248-229-3078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist