MEDICARE: SANDEEP SEBASTIAN 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	213ES0103X	Foot & Ankle Surgery Podiatrist	2233	TX

General Provider Information

NPI Number	:	1447705215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDEEP SEBASTIAN DPM

Provider Business Mailing Address
First Line	:	3013 W SPRING CREEK PKWY
Second Line	:	SUITE 400
City	:	PLANO
State	:	TX
Zip	:	75023-3953
Country	:	US
Telephone Number	:	214-427-7211
Fax Number	:

Provider Business Practice Location Address
First Line	:	3013 W SPRING CREEK PKWY
Second Line	:	SUITE 400
City	:	PLANO
State	:	TX
Zip	:	75023-3953
Country	:	US
Telephone Number	:	214-427-7211
Fax Number	:

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

Provider Enumeration Date	:	08/22/2016
Last Update Date	:	04/14/2017

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Directions to “ SANDEEP SEBASTIAN DPM” Practice Location

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