Sundaresan, Sanjoy
Sundaresan, Sanjoy is an individual health care provider with primary practice located at 1511 10Th St , Wichita Falls TX 76301-4430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Sundaresan, Sanjoy can be contacted via phone (940) 767-0818.Contact Information
Primary practice address
1511 10Th St
Wichita Falls TX 76301-4430
Phone: (940) 767-0818
Fax: (940) 763-8096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | K1083 | Texas |
Profile Details
| NPI number | 1376504894 |
|---|---|
| LBN Legal business name | Sundaresan, Sanjoy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Oct 15th, 2014 - about 12 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 | 1376504894 | NPPES |
| Texas | MEDICAID | 1336471-04 |
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