MEDICARE: DR. LAVANYA N SENDOS M.D

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	P7564	TX

General Provider Information

NPI Number	:	1487905055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAVANYA N SENDOS M.D

Provider Business Mailing Address
First Line	:	6431 FANNIN ST # 1.150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5420 DASHWOOD DR STE 210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5332
Country	:	US
Telephone Number	:	713-486-1075
Fax Number	:

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

Provider Enumeration Date	:	09/24/2012
Last Update Date	:	03/31/2016

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