Individual
SANJIV SUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-8890
Mailing address
7200 CAMBRIDGE ST FL 8, HOUSTON, TX 77030-4202
(713) 798-3390
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
K4581
TX
2080P0201X
Pediatric Allergy/Immunology Physician
K4581
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124548202
—
TX
Enumeration date
12/08/2006
Last updated
11/10/2023
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