Healthcare Provider Details

I. General information

NPI: 1144300575
Provider Name (Legal Business Name): RAJAGOPAL VISWANATH SEKHAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 11/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 TAUB LOOP BEN TAUB GENERAL HOSPITAL
HOUSTON TX
77030-1608
US

IV. Provider business mailing address

ONE BAYLOR PLAZA, ABBR-R604, MS BCM-185 SECTION OF ENDOCRINOLOGY, BAYLOR COLLEGE OF MEDICINE
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-873-8890
  • Fax: 713-873-8898
Mailing address:
  • Phone: 713-798-3908
  • Fax: 713-798-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberM0909
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: