SUNIL N LALLA MD PA (NPI# 1114911609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114911609 |
| Entity Type | Organization |
| Organization Name | SUNIL N LALLA MD PA |
| Practice Address |
14171 Metropolis Ave 202 Fort Myers FL 33912-4335 |
| Practice Telephone | 2395612202 |
| Practice Fax Number | 2395613099 |
| Mailing Telephone | 2395612202 |
| Mailing Fax Number | 2395613099 |
| Enumeration Date | 2005-09-11 |
| Last Update Date | 2009-08-19 |
| Authorized Official Name | DR. SUNIL N LALLA (OWNER) |
| Authorized Official Telephone | 2395612202 |
| Authorized Official Credential | M.D., P.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME061581 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCFL GROUP | 0006N | 01 |
| FL | 370308800 | 05 | |
| FL | BCBS | 15080 | 01 |
| Street Address |
14171 METROPOLIS AVE 202 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073984365 | Karunasree Gogineni | Physician Assistant | 14171 Metropolis Ave, Suite 200, Fort Myers, FL 33912-4335 | 2015-10-12 |
| 1922416643 | Bharti Sunil Lalla, Md Faap | Pediatrics | 14171 Metropolis Ave, Suite 202, Fort Myers, FL 33912-4335 | 2014-07-25 |
| 1184802639 | Stephanie Lynn O'neal | Audiologist | 14171 Metropolis Ave, Ste. 101, Fort Myers, FL 33912-4335 | 2008-02-07 |
| 1407841760 | Sunil N Lalla | Internal Medicine | 14171 Metropolis Ave, 202, Fort Myers, FL 33912-4335 | 2005-09-13 |
| 1265426753 | Bharti S Lalla | Pediatrics | 14171 Metropolis Ave, 202, Fort Myers, FL 33912-4335 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521009 | Imtiaz Ahmad | Internal Medicine | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 | 2005-07-13 |
| 1760911051 | Jec Physician Services, LLC | Internal Medicine | 13670 Metropolis Ave Ste 106, Fort Myers, FL 33912-4346 | 2017-06-08 |
| 1518393362 | Genesiscare Usa of Florida LLC | Internal Medicine | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 | 2013-09-24 |
| 1902177058 | Mohammad A Rashid | Internal Medicine | 9470 Healthpark Cir, Fort Myers, FL 33908-3600 | 2012-01-21 |
| 1790081701 | Jordan Kristofer Taillon | Internal Medicine | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2011-02-08 |
| 1093978215 | Antonio R. Pizarro | Internal Medicine | 5820 Buckingham Rd, Fort Myers, FL 33905-7413 | 2008-07-08 |
| 1982810669 | Rami Almadi | Internal Medicine | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | 2007-05-16 |
| 1407994262 | Warren A Wilkes | Internal Medicine | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966 | 2007-02-02 |
| 1699832949 | Razak Abdul Dosani | Internal Medicine | 5216 Clayton Court, Fort Myers, FL 33907 | 2007-01-03 |
| 1255436440 | Siegel, Hannan, & Tolep M.d.p.a | Internal Medicine | 9981 S Healthpark Dr, 279, Fort Myers, FL 33908-3618 | 2006-09-13 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on SUNIL N LALLA MD PA.
| 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.