Provider Demographics
NPI:1750603700
Name:SUCHANOVA, PAVLINA PAJA (MD)
Entity type:Individual
Prefix:DR
First Name:PAVLINA
Middle Name:PAJA
Last Name:SUCHANOVA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14140 SOUTHWEST FWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3842
Mailing Address - Country:US
Mailing Address - Phone:281-649-7000
Mailing Address - Fax:713-484-6649
Practice Address - Street 1:16545 SOUTHWEST FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2891
Practice Address - Country:US
Practice Address - Phone:281-649-7200
Practice Address - Fax:281-491-6704
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2019-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10030819207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBP10030819OtherPERMIT NUMBER