DR. VIKTOR P SULKOWSKI M.D.
NPI 1780796003
Specialist in Kingsport, TN

Active since August 31, 2006
10461 WALLACE ALLEY ST, KINGSPORT, TN 37663(423) 279-1400 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Viktor P Sulkowski M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIKTOR P SULKOWSKI M.D. (NPI 1780796003) is an individual specialist in Kingsport, Tennessee, licensed in Tennessee (MD0000010318) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1780796003
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. VIKTOR P SULKOWSKICredential: M.D.
Location Address10461 WALLACE ALLEY STKingsport, TN 37663-3936
Mailing Address3101 Browns Mill Rd Ste 6 Pmb 386Johnson City, TN 37604-4100 · (423) 854-0001 · Fax (423) 854-0002
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1780796003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · MD0000010318
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10461 WALLACE ALLEY ST, Kingsport, TN 37663

Other Identifiers 6

Other4051167TN · Bcbs Tn Grp Provider Numb
Other4051152TN · Bcbs Tn Provider Number
Medicare ID-Type Unspecified3878839TN · Medicare Provider Number
Medicare UPINB03565TN
Medicare ID-Type Unspecified3379190TN · Medicare Grp Provider Num
Medicaid3379190TN

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Anesthesiology
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Internal Medicine (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Registered Nurse (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Internal Medicine (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Nurse Practitioner (Family)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Clinic/Center (Ambulatory Surgical)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Internal Medicine (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780796003, enumerated as an "individual" on August 31, 2006.

The provider is located at 10461 WALLACE ALLEY ST KINGSPORT, TN 37663 and the phone number is (423) 279-1400.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.