Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2007004328 | MO |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | M6903 | TX |
NPI | 1063622918 |
---|---|
Provider Name | Sumitha Sukumar Hathiramani |
First Address | Dallas, TX 75390-7201 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 14/04/2011 |