Provider Demographics
NPI:1336145564
Name:HEMKUMAR, SASIKALA (MD)
Entity Type:Individual
Prefix:DR
First Name:SASIKALA
Middle Name:
Last Name:HEMKUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 JAMES CASEY ST
Mailing Address - Street 2:SUITE 1-E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1251
Mailing Address - Country:US
Mailing Address - Phone:512-416-9800
Mailing Address - Fax:512-416-9811
Practice Address - Street 1:4310 JAMES CASEY ST
Practice Address - Street 2:SUITE 1-E
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1251
Practice Address - Country:US
Practice Address - Phone:512-416-9800
Practice Address - Fax:512-416-9811
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2014-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7751207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161199801Medicaid
TX161199801Medicaid
TX8B5076Medicare PIN