Provider Demographics
NPI:1912905233
Name:SASIKALA HEMKUMAR M D P A
Entity Type:Organization
Organization Name:SASIKALA HEMKUMAR M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SASIKALA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-416-9800
Mailing Address - Street 1:4310 JAMES CASEY ST
Mailing Address - Street 2:SUITE I - E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1251
Mailing Address - Country:US
Mailing Address - Phone:512-416-9800
Mailing Address - Fax:512-416-9811
Practice Address - Street 1:4310 JAMES CASEY ST
Practice Address - Street 2:SUITE I - E
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1251
Practice Address - Country:US
Practice Address - Phone:512-416-9800
Practice Address - Fax:512-416-9811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7751207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161198001Medicaid
TX00285WMedicare PIN