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Contact Information

SIVARAM SUDHAKAR, MD
1901 MEDI PARK
SUITE # 1062
AMARILLO, TX79106
 Phone: 806-463-1652
 Fax: 806-463-1736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SIVARAM SUDHAKAR · (Male)

NPI Number 1497844112
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 11/02/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # H7836
  • TX Medicaid 130454506
  • TX Other H7836 STATE LICENSE
Hospital affiliation(s)
  • BAPTIST ST ANTHONYS HEALTH SYSTEM-BAPTIST CAMPUS - (Acute Care)
    1600 WALLACE BLVD
    AMARILLO, TX 79106
  • NORTHWEST TEXAS HOSPITAL - (Acute Care)
    1501 COULTER ROAD
    AMARILLO, TX 79106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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