Basic Information
Provider Information
NPI: 1174728281
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMZANALI
FirstName: SUNAIL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.D.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4635 SOUTHWEST FWY
Address2: SUITE 700
City: HOUSTON
State: TX
PostalCode: 770277169
CountryCode: US
TelephoneNumber: 7138770697
FaxNumber: 7136238380
Practice Location
Address1: 226 FLUOR DANIEL DR
Address2:  
City: SUGAR LAND
State: TX
PostalCode: 774794073
CountryCode: US
TelephoneNumber: 2812422040
FaxNumber: 2812422044
Other Information
ProviderEnumerationDate: 06/19/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X23357TXY Dental ProvidersDentist 

No ID Information.


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