| Sowmini Nithianantham, P.a. | |
|
4433 Vivian St Bellaire TX 77401-5630 | |
| (832) 541-9650 | |
| Not Available |
| Full Name | Sowmini Nithianantham, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4433 Vivian St, Bellaire, Texas |
| Authorized Official Name and Position | Sowmini Nithianantham (OWNER) |
| Authorized Official Contact | 8325419650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sowmini Nithianantham, P.a. 4433 Vivian St Bellaire TX 77401-5630 Ph: (832) 541-9650 | Sowmini Nithianantham, P.a. 4433 Vivian St Bellaire TX 77401-5630 Ph: (832) 541-9650 |
| NPI Number | 1407140239 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Medicare PECOS PAC ID | 0547422149 |
|---|---|
| Medicare Enrollment ID | O20120426000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407140239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L9828 (Texas) | Primary |
| Provider Name | Sowmini Nithianantham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518071158 PECOS PAC ID: 8729038294 Enrollment ID: I20050124000542 |
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