Provider Demographics
NPI:1265665343
Name:SUJATHA N THOTA MD PA
Entity Type:Organization
Organization Name:SUJATHA N THOTA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUJATHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:THOTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-608-3551
Mailing Address - Street 1:23423 HIGHWAY 59 N
Mailing Address - Street 2:APT 1115
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1550
Mailing Address - Country:US
Mailing Address - Phone:281-608-3551
Mailing Address - Fax:281-586-9191
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:STE 290
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:281-586-8870
Practice Address - Fax:281-586-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty