Provider Demographics
NPI:1497756266
Name:ALAMPUR, SUDHIR KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SUDHIR
Middle Name:KUMAR
Last Name:ALAMPUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2400 HIGHWAY 365
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6249
Mailing Address - Country:US
Mailing Address - Phone:409-722-2555
Mailing Address - Fax:409-722-2597
Practice Address - Street 1:2400 HIGHWAY 365
Practice Address - Street 2:SUITE 208
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6249
Practice Address - Country:US
Practice Address - Phone:409-722-2555
Practice Address - Fax:409-722-2597
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4685207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100005712OtherMEDICARE RAILROAD
TX116082815OtherCHAMPUS
TX81V521OtherBLUE CROSS
TXPO81V5218Medicaid
TX81V521OtherBLUE CROSS
TXF65848Medicare UPIN