MEDICARE: DR. KAS SARANATHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	F7599	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	060016675	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00TF43	OTHER	TX	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4010902	OTHER	TX	AETNA

General Provider Information

NPI Number	:	1679575872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAS SARANATHAN M.D.

Provider Business Mailing Address
First Line	:	7777 SOUTHWEST FWY 354
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1805
Country	:	US
Telephone Number	:	713-771-3831
Fax Number	:	713-771-0263

Provider Business Practice Location Address
First Line	:	7777 SOUTHWEST FWY 354
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1805
Country	:	US
Telephone Number	:	713-771-3831
Fax Number	:	713-771-0263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	11/04/2015

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Directions to “ DR. KAS SARANATHAN M.D.” Practice Location

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