Kodityal, Sandeep
Kodityal, Sandeep is an individual health care provider with primary practice located at 18488 Interstate 45 S , Shenandoah TX 77384-4118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kodityal, Sandeep can be contacted via phone (281) 569-2100.Contact Information
Primary practice address
18488 Interstate 45 S
Shenandoah TX 77384-4118
Phone: (281) 569-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | L6990 | Texas |
Profile Details
| NPI number | 1790820736 |
|---|---|
| LBN Legal business name | Kodityal, Sandeep |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Oct 26th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790820736 | NPPES |
| Texas | MEDICAID | 187751601 |
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