Munnaver Sultana, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

E7745 Issued in TX

Practice address

2955 Harrison
Ste 301
Beaumont, TX 77702

Phone

(409) 899-5111

Fax

(409) 899-5906

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215969274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HARRISON",
            "address_2": "STE 301",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77702",
            "telephone_number": "409-899-5111",
            "fax_number": "409-899-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 HARRISON",
            "address_2": "STE 301",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77702",
            "telephone_number": "409-899-5111",
            "fax_number": "409-899-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "MUNNAVER",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E7745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00BA89",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sudheer Kaza, M.D., P.a.
• Helene Jaeyun Suh, DDS
• Caitlyn Sulak, PT
• Jeri Boudreaux Sullivan, M.S.
• Kris L Sullivan, DCLS
• Kristi Sumrall, MS, CCC-SLP
• Sunny Anesthesia LLP
• Suresh B Indupalli MD PA
• Surgical Assist Services
• Surgical Critical Care Associates, LLP

• Gynecology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.