Provider Demographics
NPI:1831658228
Name:SEQUOIA MEDICAL PRACTICE PLLC
Entity Type:Organization
Organization Name:SEQUOIA MEDICAL PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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:954-296-8548
Mailing Address - Street 1:PO BOX 672706
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77267-2706
Mailing Address - Country:US
Mailing Address - Phone:281-459-0065
Mailing Address - Fax:346-998-0354
Practice Address - Street 1:400 N SAM HOUSTON PKWY E STE 301
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3500
Practice Address - Country:US
Practice Address - Phone:281-459-0065
Practice Address - Fax:346-998-0354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty