Provider Demographics
NPI:1225065873
Name:KATHURIA, SAJEEV S (MD)
Entity Type:Individual
Prefix:DR
First Name:SAJEEV
Middle Name:S
Last Name:KATHURIA
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 1:2727 N HARWOOD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2377
Mailing Address - Country:US
Mailing Address - Phone:844-377-6468
Mailing Address - Fax:
Practice Address - Street 1:1209 YORK RD STE 200
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-6213
Practice Address - Country:US
Practice Address - Phone:443-849-8084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD53093207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD653300100Medicaid
MDF82201Medicare UPIN
MD712L/188354YBPGMedicare PIN