Provider Demographics
NPI:1184937302
Name:SAHUKAR, HEMANTH (DMD)
Entity type:Individual
Prefix:DR
First Name:HEMANTH
Middle Name:
Last Name:SAHUKAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:HEMANTH
Other - Middle Name:
Other - Last Name:HIREGUNTANURU ANKALAPPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:7260 BLUE MOUND RD STE 148
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-8830
Mailing Address - Country:US
Mailing Address - Phone:817-259-0638
Mailing Address - Fax:
Practice Address - Street 1:7260 BLUE MOUND RD STE 148
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131
Practice Address - Country:US
Practice Address - Phone:817-259-0638
Practice Address - Fax:817-259-0639
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX42617335OtherTEXAS DRIVER'S LICENSE