Provider Demographics
NPI:1154068146
Name:SANGEETA, FNU
Entity Type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:SANGEETA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S. COULTER STREET
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1786
Mailing Address - Country:US
Mailing Address - Phone:806-424-9800
Mailing Address - Fax:806-354-5689
Practice Address - Street 1:1400 S. COULTER STREET
Practice Address - Street 2:SUITE 1500
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1786
Practice Address - Country:US
Practice Address - Phone:806-424-9800
Practice Address - Fax:806-354-5689
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program