Provider Demographics
NPI:1942557574
Name:KUKUNOOR, SPARSHA (MD)
Entity Type:Individual
Prefix:
First Name:SPARSHA
Middle Name:
Last Name:KUKUNOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:240 MIDDLETOWN BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1832
Mailing Address - Country:US
Mailing Address - Phone:215-752-2424
Mailing Address - Fax:215-750-0656
Practice Address - Street 1:240 MIDDLETOWN BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1832
Practice Address - Country:US
Practice Address - Phone:215-752-2424
Practice Address - Fax:215-750-0656
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD463453207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology