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General NPI Number Information
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NPI Number | 1598129702
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Entity Type | Individual
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Provider Name | SANDIP SURESH MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 905 W MEDICAL CENTER BLVD STE 101
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City | WEBSTER
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State | TX
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Zip | 77598-4009
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Country | US
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Telephone | 281-697-5971
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Fax | 281-595-1499
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Provider Business Mailing Address
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Address Line | PO BOX 58538
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City | WEBSTER
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State | TX
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Zip | 77598-8538
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Country | US
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Telephone | 281-697-5971
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Fax | 281-595-1499
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | T0948
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD1983604
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License Number State | TX
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