Provider Demographics
NPI:1518065275
Name:SAKUNTALAI SRINANTHAKUMAR, M.D.,P.A
Entity Type:Organization
Organization Name:SAKUNTALAI SRINANTHAKUMAR, M.D.,P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SAKUNTALAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SRINANTHAKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-839-8349
Mailing Address - Street 1:740 HOSPITAL DR
Mailing Address - Street 2:SUITE 180
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4664
Mailing Address - Country:US
Mailing Address - Phone:409-839-8349
Mailing Address - Fax:409-839-4220
Practice Address - Street 1:740 HOSPITAL DR
Practice Address - Street 2:SUITE 180
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701
Practice Address - Country:US
Practice Address - Phone:409-839-8848
Practice Address - Fax:409-839-4220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty