NPI 1295014389 · live from the CMS NPI Registry
Alexander P. Sudarshan MD PA
Ophthalmology in Brownsville, TX. National Provider Identifier 1295014389, active.
NPI record
| NPI | 1295014389 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1058 E Los Ebanos Blvd, Brownsville, TX 78520 |
| Practice phone | 956-541-4828 |
| Enumerated | August 8, 2011 |
| Last updated | May 27, 2021 |
| Authorized official | Alexander Sudarshan, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 6901TG (TX) |
| Optometrist | 152W00000X | 3479TG (TX) |
| Ophthalmology | 207W00000X | J6751 (TX) |
| Ophthalmology primary | 207W00000X | G5668 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.