Individual
AI SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9180 PINECROFT DR STE 500, SHENANDOAH, TX 77380-3883
(832) 325-7080
(713) 512-2239
Mailing address
6431 FANNIN ST STE 7.044, HOUSTON, TX 77030-1501
(914) 602-1403
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
R1888
TX
2084N0400X
Neurology Physician
R1888
TX
2084N0600X
Clinical Neurophysiology Physician
Primary
R1888
TX
Other
Enumeration date
03/25/2012
Last updated
06/08/2023
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