Provider Demographics
NPI:1477604668
Name:SANKARANARAYANAN, VENKATARAJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:VENKATARAJAN
Middle Name:
Last Name:SANKARANARAYANAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VENKAT
Other - Middle Name:
Other - Last Name:SANKAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:22715 SIERRA LAKE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2303
Mailing Address - Country:US
Mailing Address - Phone:281-556-1764
Mailing Address - Fax:281-556-5436
Practice Address - Street 1:12000 RICHMOND AVE
Practice Address - Street 2:SUITE # 215
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2431
Practice Address - Country:US
Practice Address - Phone:281-556-1764
Practice Address - Fax:281-556-5436
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL71592084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D1718Medicare ID - Type Unspecified
TXY26915Medicare UPIN