Organization
ALEXANDER P. SUDARSHAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER PRADIP SUDARSHAN MD (PRESIDENT)
(956) 541-4828
Entity
Organization
Contact information
Practice address
1058 E LOS EBANOS BLVD, BROWNSVILLE, TX 78520-9988
(956) 541-4828
(956) 541-4568
Mailing address
1058 E LOS EBANOS BLVD, BROWNSVILLE, TX 78520-9988
(956) 541-4828
(956) 541-4568
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3479TG
TX
152W00000X
Optometrist
6901TG
TX
207W00000X
Ophthalmology Physician
Primary
G5668
TX
207W00000X
Ophthalmology Physician
J6751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286292201
—
TX
Enumeration date
08/08/2011
Last updated
05/27/2021
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