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NPI Code Detail

MEDICARE: AJAI SAMBASIVAN M.D.

MEDICARE: AJAI SAMBASIVAN 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
1208VP0000XPain Medicine PhysicianP6717TX
2208100000XPhysical Medicine & Rehabilitation PhysicianP6717TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1523288YKY3OTHERTXMEDICARE INDIVIDUAL ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992090955
Entity Type Code : Individual
Provider Name (Legal Business Name) : AJAI SAMBASIVAN M.D.
Provider Business Mailing Address
First Line : 6431 FANNIN ST # G550A
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1333 MOURSUND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3408
Country : US
Telephone Number : 713-748-6156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2011
Last Update Date : 06/26/2025

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