Healthcare Provider Details

I. General information

NPI: 1154379709
Provider Name (Legal Business Name): BINDU SUDHAKARAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7474 N GRAND PKWY W C1 400
SPRING TX
77379-1570
US

IV. Provider business mailing address

21301 KUYKENDAHL RD SUITE H
SPRING TX
77379-2611
US

V. Phone/Fax

Practice location:
  • Phone: 832-717-7825
  • Fax:
Mailing address:
  • Phone: 832-717-7825
  • Fax: 832-717-7826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK7107
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberK7107
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: