1003153222 NPI number — DURGA P. SUNKARA, MD, P.A.

Table of content: (NPI 1003153222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003153222 NPI number — DURGA P. SUNKARA, MD, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DURGA P. SUNKARA, MD, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PARAMOUNT MEDICAL ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003153222
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4802 E SAM HOUSTON PKWY S
Provider Second Line Business Mailing Address:
150
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77505-3968
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-487-3111
Provider Business Mailing Address Fax Number:
713-429-4073

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2918 SAN JACINTO ST
Provider Second Line Business Practice Location Address:
200
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77004-2708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-598-7000
Provider Business Practice Location Address Fax Number:
713-652-3146
Provider Enumeration Date:
01/08/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SUNKARA
Authorized Official First Name:
DURGA
Authorized Official Middle Name:
PRASAD
Authorized Official Title or Position:
OFFICE DIRECTOR
Authorized Official Telephone Number:
281-487-3111

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  J8389 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com