Basic Information
| Provider Information | |||||||||
| NPI: | 1629244538 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KATYAL | ||||||||
| FirstName: | SUMIT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8390 LYNDON B JOHNSON FWY STE 1000 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752431288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722003663 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8390 LYNDON B JOHNSON FWY STE 1000 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752431288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722003663 | ||||||||
| FaxNumber: | 9727599060 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2008 | ||||||||
| LastUpdateDate: | 09/30/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | P1883 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.