# PERIN GOMER SUTHAKAR MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235382912
- **Authorized official:** DR. PERIN GOMER SUTHAKAR (MD)
- **Authorized official phone:** (210) 483-9800

## Contact information

- **Practice address:** 540 MADISON OAK DR, SUITE 130, SAN ANTONIO, TX 78258-3943
- **Practice address phone:** (210) 483-9800
- **Mailing address:** 540 MADISON OAK DR, SUITE 130, SAN ANTONIO, TX 78258-3943
- **Mailing address phone:** (210) 483-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | N0489 | TX | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 02/03/2009