Provider Demographics
NPI:1851420194
Name:LALITHA SUNDER, MD, PA
Entity Type:Organization
Organization Name:LALITHA SUNDER, MD, PA
Other - Org Name:WESTSIDE CARDIOVASCULAR ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LALITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-973-8821
Mailing Address - Street 1:915 GESSNER RD
Mailing Address - Street 2:STE 925
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2527
Mailing Address - Country:US
Mailing Address - Phone:713-973-8821
Mailing Address - Fax:713-973-8492
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:STE 925
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-973-8821
Practice Address - Fax:713-973-8492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-04
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8388207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0097PZOtherBCBSTX
TX00118VMedicare PIN