Organization
EL PASO NEUROSURGERY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANKER SUNDRANI M.D. (OWNER)
(915) 590-1890
Entity
Organization
Contact information
Practice address
10400 VISTA DEL SOL DR, SUITE 104, EL PASO, TX 79925-7945
(915) 590-1890
(915) 590-1952
Mailing address
10400 VISTA DEL SOL DR, SUITE 104, EL PASO, TX 79925-7945
(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
01
—
200402600
US DEPT OF LABOR
—
05
—
2057267-01
—
TX
05
—
34039376
—
NM
01
—
64186
PRESBYTERIAN SALUD
NM
01
—
7450354
AETNA
—
01
—
8B1328
BLUE CROSS OF TEXAS
TX
Enumeration date
02/07/2007
Last updated
01/05/2010
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