Organization
ANUPAM MD PA
Active
Other names
NAG Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
ASHU SODHI SYAL MD (CLINICAL DIRECTOR)
(409) 539-9921
Entity
Organization
Contact information
Practice address
3320 PLAINVIEW ST, PASADENA, TX 77504-1906
(409) 539-9921
Mailing address
PO BOX 1666, LA MARQUE, TX 77568-1666
(409) 539-9921
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M5532
TX
261Q00000X
Clinic/Center
M5532
TX
261QM1300X
Multi-Specialty Clinic/Center
M5532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124064779
PROVIDER NPI
TX
05
—
193755901
—
TX
05
—
3352759-01
—
TX
05
—
3352759-02
—
TX
05
—
3352759-03
—
TX
05
—
4876619
—
TX
Enumeration date
02/07/2014
Last updated
10/31/2014
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