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NPI Code Detail

MEDICARE: DR. SANGEETHA GAJENDRAN SARAH BDS,MDS,MHA

MEDICARE: DR. SANGEETHA GAJENDRAN SARAH BDS,MDS,MHA
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
1122300000XDentist37156TX

General Provider Information

NPI Number : 1427622745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANGEETHA GAJENDRAN SARAH BDS,MDS,MHA
Provider Business Mailing Address
First Line : 8585 WOODWAY DR APT 237
Second Line :
City : HOUSTON
State : TX
Zip : 77063-2440
Country : US
Telephone Number : 832-461-7041
Fax Number :
Provider Business Practice Location Address
First Line : 5819 GULF FWY STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77023-5353
Country : US
Telephone Number : 713-325-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/20/2021

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Directions to “ DR. SANGEETHA GAJENDRAN SARAH BDS,MDS,MHA” Practice Location

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