Provider Demographics
NPI:1336447432
Name:SUDHEER, VIOLA GADE (PA)
Entity Type:Individual
Prefix:MRS
First Name:VIOLA
Middle Name:GADE
Last Name:SUDHEER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 FROST PROOF DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4109
Mailing Address - Country:US
Mailing Address - Phone:956-463-5506
Mailing Address - Fax:
Practice Address - Street 1:1725 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8203
Practice Address - Country:US
Practice Address - Phone:956-412-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TXPA07233363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant