Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | N1903 | TX |
Y | 111NI0900X | Internist | N1903 | TX |
N | 207SG0201X | Clinical Genetics (M.D.) | N1903 | TX |
NPI | 1770720112 |
---|---|
Provider Name | Sandesh Chakravarthy Sreenath Nagamani |
First Address | Houston, TX 77046-0297 |
Second Address | Houston, TX 77030-2348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2009 |
Last Update Date | 27/07/2010 |