Vidyasagaran, Jilly Kunjunny
Vidyasagaran, Jilly Kunjunny is an individual health care provider with primary practice located at 4024 Brookhaven Ave , Pasadena TX 77504-1902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vidyasagaran, Jilly Kunjunny can be contacted via phone (713) 944-2324.Contact Information
Primary practice address
4024 Brookhaven Ave
Pasadena TX 77504-1902
Phone: (713) 944-2324
Fax: (713) 944-1539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J2829 | Texas |
Profile Details
| NPI number | 1629034103 |
|---|---|
| LBN Legal business name | Vidyasagaran, Jilly Kunjunny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Nov 29th, 2011 - about 13 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 | 1629034103 | NPPES |
| Texas | Other | 1270928-05 | THSTEPS |
| Texas | MEDICAID | 1270928-03 | THSTEPS |
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