Prasuna Sajja MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M2785 Issued in TX

Legal business name

PRASUNA SAJJA MD, PA

Practice address

707 S Fry Rd
Suite 395
Katy, TX 77450-2256

Phone

(281) 647-9355

Fax

(281) 647-9357

NPI assigned

May 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prasuna Sajja, MDNPI 1801844782

Title

Owner

Phone

(713) 385-5642

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prasuna Sajja, MD

  • Family Medicine Physician
  • Katy, TX
  • NPI 1801844782
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1104884501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28419 TANNER CROSSING LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941977",
            "telephone_number": "713-385-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S FRY RD",
            "address_2": "SUITE 395",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502256",
            "telephone_number": "281-647-9355",
            "fax_number": "281-647-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASUNA SAJJA MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "SAJJA",
        "authorized_official_first_name": "PRASUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-385-5642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179344001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.