Basic Information
Provider Information
NPI: 1396222964
EntityType: 2
ReplacementNPI:  
OrganizationName: RASHMI SHESHADRI MD PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: CYPRESS PRIMARY CARE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9950 CYPRESSWOOD DR STE 375
Address2:  
City: HOUSTON
State: TX
PostalCode: 770703412
CountryCode: US
TelephoneNumber: 7132345837
FaxNumber: 7137017295
Practice Location
Address1: 8190 BARKER CYPRESS RD STE 1500A
Address2:  
City: CYPRESS
State: TX
PostalCode: 774332277
CountryCode: US
TelephoneNumber: 7132345837
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/25/2018
LastUpdateDate: 07/25/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SHESHADRI
AuthorizedOfficialFirstName: RASHMI
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7132345837
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X TXY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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