SAILAJA MUSUNURI


Address: 8th Avenue & Hay Rd, Kidspeace National Centers Berks Campus, Temple, PA 19560
Phone: 6109294670

SAILAJA MUSUNURI (NPI# 1407839368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407839368
Entity Type Individual
Full Name SAILAJA MUSUNURI
Credential MD
Practice Address 8th Avenue & Hay Rd
Kidspeace National Centers Berks Campus
Temple
PA 19560
Mailing Address 527 Dublin Drive
Downington
PA 19335
Practice Telephone 6109294670
Practice Fax Number 6109294686
Mailing Telephone 4844321857
Mailing Fax Number 6105942561
Enumeration Date 2005-11-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
MD072136L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0018857210004 05

Office Location

Street Address 8TH AVENUE & HAY RD
KIDSPEACE NATIONAL CENTERS BERKS CAMPUS
City TEMPLE
State PA
Zip Code 19560

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760911127 Willie Marvin Hutchinson Counselor 1017 Highview Court, Temple, PA 19560 2017-06-08
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1174691802 Donna Marie Di Jinio Dentist 4729 Kutztown Road, Temple, PA 19560 2006-12-01
1437176252 Muhlenberg Medical Associates Internal Medicine 4201 Kutztown Road, Temple, PA 19560 2006-07-16
1437625530 Kelsey Sara Reich Specialist/Technologist 400 Sharp Ave, Laureldale, PA 19560 2018-10-17
1467597161 Kidspeace National Centers, Inc. Nursing Care 704 Hay Rd, Temple, PA 19560 2007-02-20
1386710432 Brian S Klee Dpm Podiatrist 4148 Kutztown Rd, Temple, PA 19560 2006-11-28
1932207875 Lawrence Capozello Podiatrist 4148 Kutztown Rd, Temple, PA 19560 2006-09-21
1528021284 Richard P Christoph Optometrist 5370 Allentown Pike, Inside Wal-mart Vision Ctr., Temple, PA 19560-1200 2006-04-11
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497917678 Jessica Cayce Psychiatry & Neurology 2401 S 31st St, Temple, TX 76508-0001 2008-06-27
1417119066 Manish Aligeti Psychiatry & Neurology 2401 S 31st St, Temple, TX 76508 2008-06-25

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1528675345 St. Luke's Physician Group, Inc. Psychiatry & Neurology 1315 Echo Trl, Easton, PA 18040-1019 2020-09-25
1164039996 St. Luke's Physician Group, Inc. Psychiatry & Neurology 1243 Tatamy Rd, Easton, PA 18045-7405 2020-09-25
1578170304 St. Luke's Physician Group, Inc. Psychiatry & Neurology 1221 Northampton St, Easton, PA 18042-4138 2020-09-25
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Competitor

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City TEMPLE
Zip Code 19560

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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