MEDICARE: DR. SUNIL KUMAR JEGANATHAN MD, DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	2385	TX
2	213ES0131X	Foot Surgery Podiatrist	2385	TX

General Provider Information

NPI Number	:	1275988933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNIL KUMAR JEGANATHAN MD, DPM

Provider Business Mailing Address
First Line	:	616 FM 1960 RD W STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3026
Country	:	US
Telephone Number	:	281-369-9166
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 FM 1960 RD W STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3026
Country	:	US
Telephone Number	:	281-369-9166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	04/07/2026

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