Basic Information
Provider Information
NPI: 1689665176
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMIN-SANKAR
FirstName: ZATUL
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4019 OXHILL RD
Address2:  
City: SPRING
State: TX
PostalCode: 773885751
CountryCode: US
TelephoneNumber: 2812495954
FaxNumber: 2816055792
Practice Location
Address1: 510 W TIDWELL RD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770914339
CountryCode: US
TelephoneNumber: 2815809030
FaxNumber: 2815802725
Other Information
ProviderEnumerationDate: 11/02/2005
LastUpdateDate: 02/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XG4425TXY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
13678491105TX MEDICAID


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