Provider Demographics
NPI:1689905911
Name:PEGANYEE PROFESSIONAL ASSOC INC
Entity Type:Organization
Organization Name:PEGANYEE PROFESSIONAL ASSOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHDEV
Authorized Official - Middle Name:S
Authorized Official - Last Name:PEGANYEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-222-2238
Mailing Address - Street 1:7015 ALMEDA RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2101
Mailing Address - Country:US
Mailing Address - Phone:713-222-2238
Mailing Address - Fax:
Practice Address - Street 1:7015 ALMEDA RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2101
Practice Address - Country:US
Practice Address - Phone:713-222-2238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty