Individual
SANJOY SUNDARESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1511 10TH ST, WICHITA FALLS, TX 76301-4430
(940) 767-0818
(940) 763-8096
Mailing address
1511 10TH ST, WICHITA FALLS, TX 76301-4430
(940) 767-0818
(940) 763-8096
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
K1083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336471-04
—
TX
Enumeration date
04/01/2006
Last updated
10/15/2014
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