Provider Demographics
NPI:1003838996
Name:FORT BEND GERIATRICS, PA
Entity Type:Organization
Organization Name:FORT BEND GERIATRICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-491-6767
Mailing Address - Street 1:15200 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3845
Mailing Address - Country:US
Mailing Address - Phone:281-491-6767
Mailing Address - Fax:281-491-6768
Practice Address - Street 1:15200 SOUTHWEST FWY
Practice Address - Street 2:SUITE 180
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3845
Practice Address - Country:US
Practice Address - Phone:281-491-6767
Practice Address - Fax:281-491-6768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty