Shiyamali Sundararajan, in Austin, TX - Medicare Dentist Provider

Shiyamali Sundararajan, is a medicare enrolled "Dentist - Periodontics" provider in Austin, Texas. Her current practice location is 12319 N Mopac Expy Ste 160, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 222-5721.

Shiyamali Sundararajan is licensed to practice in Texas (license number 39852) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679254544.

Contact Information

	Shiyamali Sundararajan,
	12319 N Mopac Expy Ste 160, Austin, TX 78758-2648
	(512) 222-5721
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shiyamali Sundararajan
Gender	Female
Speciality	Dentist - Periodontics
Location	12319 N Mopac Expy Ste 160, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679254544
Provider Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7719331206
Enrollment ID: I20231003001126

Medical Identifiers

Medical identifiers for Shiyamali Sundararajan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679254544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	39852 (Texas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shiyamali Sundararajan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shiyamali Sundararajan, 529 Caddo Lake Dr, Georgetown, TX 78628-7137 Ph: () -	Shiyamali Sundararajan, 12319 N Mopac Expy Ste 160, Austin, TX 78758-2648 Ph: (512) 222-5721

Reviews and Comments

Dentist in Austin, TX

Dr. Valerie Mariana Santiago-doyle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5701 W Slaughter Ln, Suite B120, Austin, TX 78749 Phone: 512-467-4722
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Dr. Gary Robert Herron Ii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6611 E Highway 290, Austin, TX 78723 Phone: 512-459-3821
Dr. George Maury Blackburn, D.M.D., F.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12505 Hymeadow Dr, Suite 2d, Austin, TX 78750 Phone: 512-258-3627 Fax: 512-258-0755

Shiyamali Sundararajan, - Medicare Dentist in Austin, TX