Sudhakar, Selvin

Sudhakar, Selvin is an individual health care provider with primary practice located at 5752 Lightstone Ln , League City TX 77573-1897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sudhakar, Selvin can be contacted via phone (870) 740-7774.

Contact Information

Primary practice address
5752 Lightstone Ln League City TX 77573-1897
Phone: (870) 740-7774
Fax: (870) 740-7774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E4625 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P2067 Texas

Profile Details

NPI number 1598785321
LBN Legal business name Sudhakar, Selvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 7th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598785321 NPPES
Arkansas MEDICAID 160274001
Arkansas MEDICAID 200213200A

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