Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supraja Thunuguntla

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1467957324

Supraja Thunuguntla is a Clinical Cardiac Electrophysiology Physician in Great Falls, Montana. Works from 2 locations. Licensed in Montana.

Licensed in
MT
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1300 28th St S Fl 2
Great Falls, MT 59405-5296
Phone: (406) 455-4320
Fax: (406) 731-8318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2102 Treasure Hills Blvd, Harlingen, TX 78550-8736 — (956) 296-1590

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 173110 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467957324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2018
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing addressPo Box 6010, Great Falls, MT 59406-6010

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