Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P6838 | TX |
N | 111NI0900X | Internist | P6838 | TX |
Y | 207RH0002X | Hospice and Palliative Medicine | P6838 | TX |
NPI | 1114971777 |
---|---|
Provider Name | Sunitha Sara John |
First Address | Dallas, TX 75231-4426 |
Second Address | Dallas, TX 75231-4426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 22/01/2020 |