Provider Demographics
NPI:1598432080
Name:SEQUOIA PODIATRY PLLC
Entity Type:Organization
Organization Name:SEQUOIA PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-848-0958
Mailing Address - Street 1:11980 KIRBY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4860
Mailing Address - Country:US
Mailing Address - Phone:713-848-0958
Mailing Address - Fax:713-433-3709
Practice Address - Street 1:11980 KIRBY DR STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4860
Practice Address - Country:US
Practice Address - Phone:713-848-0958
Practice Address - Fax:713-433-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty