Individual
DR. JILLY KUNJUNNY VIDYASAGARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4024 BROOKHAVEN AVE, PASADENA, TX 77504-1902
(713) 944-2324
(713) 944-1539
Mailing address
4024 BROOKHAVEN AVE, PASADENA, TX 77504-1902
(713) 944-2324
(713) 944-1539
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J2829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1270928-03
—
TX
01
—
1270928-05
THSTEPS
TX
Enumeration date
04/25/2006
Last updated
11/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us