Individual provider Active NPI

Prabha Sunderajan, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1164484101
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J6259 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone
(214) 645-8500
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J6259 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7208

Mailing address

PO Box 845347
Dallas, TX 75284-5347
Phone (214) 645-8500

Other identifiers 1

IdentifierTypeStateIssuer
118779103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 5, 2010 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Psychiatry PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Psychiatry PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas at Arlington PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
Genetic Diagnostics PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Psychiatry PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
Genetic Diagnostic Group PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Psychiatry PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 56

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1164484101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-645-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907208",
            "telephone_number": "214-645-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERAJAN",
        "first_name": "PRABHA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J6259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118779103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.