Provider Demographics
NPI:1073530960
Name:ALAGARSAMY, SENTHIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SENTHIL
Middle Name:
Last Name:ALAGARSAMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3870
Mailing Address - Country:US
Mailing Address - Phone:800-893-9698
Mailing Address - Fax:
Practice Address - Street 1:2203 GOLDSMITH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1118
Practice Address - Country:US
Practice Address - Phone:832-368-4894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA307895207P00000X
TXL5645207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8M3080OtherBCBS
TX158864203Medicaid
LA1721891Medicaid
TX8B7193Medicare ID - Type UnspecifiedMEDICARE #
TXP00198680Medicare PIN
TXH05426Medicare UPIN
TX8B7193Medicare PIN