Provider Demographics
NPI:1841585668
Name:SAMBASIVAN, ROSHNI D (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSHNI
Middle Name:D
Last Name:SAMBASIVAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6750 WEST LOOP S STE 465
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4103
Mailing Address - Country:US
Mailing Address - Phone:832-431-4336
Mailing Address - Fax:832-460-6399
Practice Address - Street 1:6750 WEST LOOP S STE 465
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4103
Practice Address - Country:US
Practice Address - Phone:832-431-4336
Practice Address - Fax:832-460-6399
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR0116208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics