Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | J9654 | TX |
N | 111NI0900X | Internist | J9654 | TX |
N | 207RC0200X | Critical Care Medicine | J9654 | TX |
Y | 207RP1001X | Pulmonary Disease | J9654 | TX |
N | 207RS0012X | Sleep Medicine | J9654 | TX |
NPI | 1053490326 |
---|---|
Provider Name | Suresh Daniel |
First Address | Pearland, TX 77584-7298 |
Second Address | Pearland, TX 77584-2294 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 15/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100321204 | (05) | TX |
100321205 | (05) | TX |
100321209 | (05) | TX |