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NPI Code Detail

MEDICARE: OM SAKTHI P.A.

MEDICARE: OM SAKTHI P.A.
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578565206
Entity Type Code : Organization
Provider Name (Legal Business Name) : OM SAKTHI P.A.
Provider Business Mailing Address
First Line : 1036 N CIRCLE DR
Second Line :
City : SEALY
State : TX
Zip : 77474-3336
Country : US
Telephone Number : 979-877-0022
Fax Number : 979-885-3810
Provider Business Practice Location Address
First Line : 1036 N CIRCLE DR
Second Line :
City : SEALY
State : TX
Zip : 77474-3336
Country : US
Telephone Number : 979-877-0022
Fax Number : 979-885-3810
Authorized Official
Title or Position : PRESIDENT
Name : DR. KANNAPPAN KRISHNASWAMY
Credential : M.D.
Telephone Number : 979-877-0022
Provider Enumeration Date : 08/12/2005
Last Update Date : 12/26/2008

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Directions to “OM SAKTHI P.A. ” Practice Location

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