Provider Demographics
NPI:1437159696
Name:ALAGUGURUSAMY, SANKARANARAYAN (MD)
Entity Type:Individual
Prefix:
First Name:SANKARANARAYAN
Middle Name:
Last Name:ALAGUGURUSAMY
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 1:1211 HIGHWAY 6
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4941
Mailing Address - Country:US
Mailing Address - Phone:281-494-4832
Mailing Address - Fax:281-494-7399
Practice Address - Street 1:21700 KINGSLAND BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2545
Practice Address - Country:US
Practice Address - Phone:713-554-5100
Practice Address - Fax:713-554-5151
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6207207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S4477OtherBLUE CROSS BLUE SHIELD
TXP00356969OtherRAILROAD MEDICARE
TXC12646Medicare UPIN
TX8F1864Medicare PIN