Provider Demographics
NPI:1154379709
Name:SUDHAKARAN, BINDU (MD)
Entity type:Individual
Prefix:DR
First Name:BINDU
Middle Name:
Last Name:SUDHAKARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21301 KUYKENDAHL RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-2611
Mailing Address - Country:US
Mailing Address - Phone:832-717-7825
Mailing Address - Fax:832-717-7826
Practice Address - Street 1:21301 KUYKENDAHL RD
Practice Address - Street 2:SUITE H
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2611
Practice Address - Country:US
Practice Address - Phone:832-717-7825
Practice Address - Fax:832-717-7826
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7107208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG83367Medicare UPIN