Basic Information
Provider Information | |||||||||
NPI: | 1932373289 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | NAIR | ||||||||
FirstName: | SINDHU | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 16659 SOUTHWEST FWY | ||||||||
Address2: | SUITE 131 | ||||||||
City: | SUGAR LAND | ||||||||
State: | TX | ||||||||
PostalCode: | 774792375 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7134419948 | ||||||||
FaxNumber: | 7137931642 | ||||||||
Practice Location | |||||||||
Address1: | 16659 SOUTHWEST FWY | ||||||||
Address2: | SUITE 131 | ||||||||
City: | SUGAR LAND | ||||||||
State: | TX | ||||||||
PostalCode: | 774792375 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7134419948 | ||||||||
FaxNumber: | 7137931642 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 04/17/2008 | ||||||||
LastUpdateDate: | 06/07/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | N3203 | TX | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 207RH0003X | N3203 | TX | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RX0202X | N3203 | TX | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
ID Information
ID | Type | State | Issuer | Description | 8FJ118 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 8FU348 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 209676004 | 05 | TX |   | MEDICAID | 209676006 | 05 | TX |   | MEDICAID |