Organization
ALEXANDER PRADIP SUDARSHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER P SUDARSHAN M.D. (OWNER)
(956) 541-4828
Entity
Organization
Contact information
Practice address
1058 E LOS EBANOS BLVD, BROWNSVILLE, TX 78520-9988
(956) 541-4828
(956) 541-4568
Mailing address
1058 E LOS EBANOS BLVD, BROWNSVILLE, TX 78520-9988
(956) 541-4828
(956) 541-4568
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G5668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109521801
—
TX
05
—
109521802
—
TX
Enumeration date
06/14/2005
Last updated
07/27/2011
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