Healthcare Provider Details

I. General information

NPI: 1720489180
Provider Name (Legal Business Name): KASTURIRANGAN SARANATHAN, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 09/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7737 SOUTHWEST FWY SUITE 970
HOUSTON TX
77074-1807
US

IV. Provider business mailing address

7737 SOUTHWEST FWY SUITE 970
HOUSTON TX
77074-1807
US

V. Phone/Fax

Practice location:
  • Phone: 713-771-3831
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0001X
TaxonomyClinical & Laboratory Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DANEL MONROE
Title or Position: MANAGER
Credential:
Phone: 281-416-5216