Provider Demographics
NPI:1629764360
Name:CHILAKAPATI, SAI SUSHEEL (MD)
Entity Type:Individual
Prefix:
First Name:SAI SUSHEEL
Middle Name:
Last Name:CHILAKAPATI
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 1:26935 SHOAL GLEN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4039
Mailing Address - Country:US
Mailing Address - Phone:510-648-7529
Mailing Address - Fax:
Practice Address - Street 1:7200 CAMBRIDGE ST STE 9B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4202
Practice Address - Country:US
Practice Address - Phone:713-798-4696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program