Provider Demographics
NPI:1700999570
Name:DIANALAN, SITTIE RAINNI (MD)
Entity Type:Individual
Prefix:
First Name:SITTIE
Middle Name:RAINNI
Last Name:DIANALAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5834 LOUETTA RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7884
Mailing Address - Country:US
Mailing Address - Phone:281-826-0016
Mailing Address - Fax:281-826-0017
Practice Address - Street 1:5834 LOUETTA RD
Practice Address - Street 2:SUITE G
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7884
Practice Address - Country:US
Practice Address - Phone:281-826-0016
Practice Address - Fax:281-826-0017
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8322208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00133266OtherDPS
TXL8322OtherLICENSE
TXL8322OtherLICENSE