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NPI Code Detail

MEDICARE: JEYAJEEVA SUNDARARAJ NP

MEDICARE: JEYAJEEVA SUNDARARAJ NP
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
1363LG0600XGerontology Nurse Practitioner1136394TX

General Provider Information

NPI Number : 1326827437
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEYAJEEVA SUNDARARAJ NP
Provider Business Mailing Address
First Line : PO BOX 4439
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4439
Country : US
Telephone Number : 713-500-6828
Fax Number :
Provider Business Practice Location Address
First Line : 6411 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-704-5900
Fax Number : 713-704-5793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2023
Last Update Date : 01/15/2026

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