Sambasiva R Sukhavasi Md Pa

LBN: Sambasiva R Sukhavasi Md Pa
Sambasiva R Sukhavasi Md Pa is an health care organization with primary practice located at 2300 Highway 365 Ste. 210, Nederland TX 77627-6256. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Sambasiva R Sukhavasi Md Pa can be contacted via phone (409) 721-5155, or through Sukhavasi, Sambasiva via phone (409) 721-5155.

Contact Information

Primary practice address
2300 Highway 365 Ste. 210 Nederland TX 77627-6256
Fax: (409) 722-6530
Website:
Authorized official contact:
Name: Sukhavasi, Sambasiva Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X Texas

Profile Details

NPI number 1770957847
LBN Legal business name Sambasiva R Sukhavasi Md Pa
DBA Doing business as
Authorized official Sukhavasi, Sambasiva Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2015
Last updated Mar 2nd, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770957847 NPPES
Texas MEDICAID 099173901
Texas Other 466900

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