Provider Demographics
NPI:1942233960
Name:SDRINGOLA-MARANGA, STEFANO (MD)
Entity Type:Individual
Prefix:
First Name:STEFANO
Middle Name:
Last Name:SDRINGOLA-MARANGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STEFANO
Other - Middle Name:
Other - Last Name:SDRINGOLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:18450 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4404
Mailing Address - Country:US
Mailing Address - Phone:281-446-6566
Mailing Address - Fax:281-446-6657
Practice Address - Street 1:18450 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4404
Practice Address - Country:US
Practice Address - Phone:281-446-6566
Practice Address - Fax:281-446-6657
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1735207RC0000X, 207UN0901X, 207RI0011X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1942233960Medicaid
TX039286201Medicaid
TX8A4340OtherBCBS
TX8A4340OtherBCBS
TX039286201Medicaid
TX394489YN1WMedicare PIN