Provider Demographics
NPI:1043540149
Name:SATHYAMOORTHY, KUMARAN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:KUMARAN
Middle Name:
Last Name:SATHYAMOORTHY
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:10425 HUFFMEISTER RD STE 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3429
Mailing Address - Country:US
Mailing Address - Phone:281-890-0911
Mailing Address - Fax:281-890-0980
Practice Address - Street 1:10425 HUFFMEISTER RD STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3429
Practice Address - Country:US
Practice Address - Phone:281-890-0911
Practice Address - Fax:281-890-0980
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP20029576208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology