Provider Demographics
NPI:1609830645
Name:SANKAR, ARAVIND (MD)
Entity Type:Individual
Prefix:MR
First Name:ARAVIND
Middle Name:
Last Name:SANKAR
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 1:3267 BEE CAVES RD
Mailing Address - Street 2:STE 107-286
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6700
Mailing Address - Country:US
Mailing Address - Phone:512-772-1752
Mailing Address - Fax:512-772-1753
Practice Address - Street 1:5656 BEE CAVES RD BLDG K
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-7874
Practice Address - Country:US
Practice Address - Phone:512-305-3223
Practice Address - Fax:512-957-0723
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0564208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046334101Medicaid
TX00BP64Medicare PIN
TX046334101Medicaid
TX8K4669Medicare PIN
TX8808K0Medicare ID - Type Unspecified