Individual
ANDREW SUMARSONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20405 STATE HIGHWAY 249 STE 325, HOUSTON, TX 77070-2893
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036.168294
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
102421
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2024-00918
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2024049377
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
35C.001260
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
72555
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
93618
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
CDR.0003652
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD.48055
AL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD484882
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD61609756
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME171302
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
R9447
TX
208M00000X
Hospitalist Physician
R9447
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
12/30/2024
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