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Individual

SANJEEV A. VASUDEVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2 GREENWAY PLZ, SUITE 300, HOUSTON, TX 77046-0297

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P0681
TX
2086S0120X
Pediatric Surgery Physician
Primary
P0681
TX

Other

Enumeration date
07/27/2011
Last updated
04/25/2022
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