Provider Demographics
NPI:1376506295
Name:SARAF, SUNIL KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:KUMAR
Last Name:SARAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SUNIL
Other - Middle Name:KUMAR
Other - Last Name:SARAF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6243 FAIRMONT PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-4046
Mailing Address - Country:US
Mailing Address - Phone:281-991-6750
Mailing Address - Fax:281-991-7611
Practice Address - Street 1:6243 FAIRMONT PKWY STE 102
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-4046
Practice Address - Country:US
Practice Address - Phone:281-991-6750
Practice Address - Fax:281-991-7611
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4935207RA0201X, 207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1888109-02Medicaid
TX1888109-02Medicaid