Doctor profile · Federal record
Dr. Sudha Bennuri, MD
Pediatrics Physician · Northport, AL
- NPI 1619076866
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2701 20Th Avenue
Northport, AL 354763832
(205) 333-5900
fax (205) 333-6090
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- March 14, 2023
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Alabama #22564
- Medicaid
- AL #009978025
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619076866. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$64
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genentech USA, Inc. | 1 | $64.33 |
By nature of payment
Frequently asked questions
What is Dr. Sudha Bennuri's medical specialty?
Dr. Sudha Bennuri practices Pediatrics Physician in Northport, AL.
Where does Dr. Sudha Bennuri practice?
Dr. Sudha Bennuri practices at 2701 20Th Avenue, Northport, AL 354763832. Office phone: 2053335900.
What is Dr. Sudha Bennuri's NPI?
Dr. Sudha Bennuri's National Provider Identifier (NPI) is 1619076866, issued by NPPES.