Individual
DR. SHANKER SUNDRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3028 TRAWOOD DR, SUITE C, EL PASO, TX 79936-3885
(915) 590-1890
(915) 590-1952
Mailing address
3028 TRAWOOD DR, SUITE C, EL PASO, TX 79936-3885
(915) 590-1890
(915) 590-1952
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
L2019
TX
2084N0400X
Neurology Physician
L2019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062432-06
—
TX
01
—
200402600
US DEPT OF LABOR PROVIDER
—
05
—
34039376
—
NM
01
—
7450354
AETNA INSURANCE PROVIDER
—
Enumeration date
08/12/2005
Last updated
02/21/2017
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