Provider Demographics
NPI:1205851177
Name:HIRANI, SAIRA SADRUDIN
Entity Type:Individual
Prefix:
First Name:SAIRA
Middle Name:SADRUDIN
Last Name:HIRANI
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 1:1235 LAKE POINTE PKWY
Mailing Address - Street 2:STE 205
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4076
Mailing Address - Country:US
Mailing Address - Phone:281-313-4800
Mailing Address - Fax:281-313-4949
Practice Address - Street 1:1235 LAKE POINTE PKWY
Practice Address - Street 2:STE 205
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4076
Practice Address - Country:US
Practice Address - Phone:281-313-4800
Practice Address - Fax:281-313-4949
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096509702Medicaid
TX0032CQOtherBLUE CROSS BLUE SHIELD
TX0032CQOtherBLUE CROSS BLUE SHIELD
TX00312DMedicare ID - Type Unspecified