Healthcare Provider Details

I. General information

NPI: 1538341995
Provider Name (Legal Business Name): ARTFUL COSMETIC & SKIN CANCER SURGERY CENTERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 WEST LOOP S STE 800
BELLAIRE TX
77401-3505
US

IV. Provider business mailing address

4811 VALERIE ST
BELLAIRE TX
77401-5705
US

V. Phone/Fax

Practice location:
  • Phone: 713-443-8731
  • Fax:
Mailing address:
  • Phone: 713-443-8731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberM3498
License Number StateTX

VIII. Authorized Official

Name: DR. SUNEEL CHILUKURI
Title or Position: OWNER
Credential: M.D.
Phone: 713-443-8731