Provider Demographics
NPI:1346263241
Name:PEGANYEE, SUKHDEV SINGH (MD)
Entity Type:Individual
Prefix:
First Name:SUKHDEV
Middle Name:SINGH
Last Name:PEGANYEE
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 1:1675 BRITTMOORE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-3107
Mailing Address - Country:US
Mailing Address - Phone:713-222-2238
Mailing Address - Fax:713-800-7022
Practice Address - Street 1:1675 BRITTMOORE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-3107
Practice Address - Country:US
Practice Address - Phone:713-222-2238
Practice Address - Fax:713-800-7022
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130803301Medicaid
B25431Medicare UPIN
TX130803301Medicaid