Sunrise Medical Clinic Professional Association

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

N0953 Issued in TX

Legal business name

SUNRISE MEDICAL CLINIC PROFESSIONAL ASSOCIATION

Practice address

5017 S McColl Rd
Edinburg, TX 78539-8080

Phone

(956) 627-2414

Fax

(956) 627-2076

NPI assigned

Sep 23, 2009

Last updated

Dec 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajeev Kumar Mathavan, M.D.NPI 1790705200

Title

Chairman

Phone

(956) 310-2439

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajeev K Mathavan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Edinburg, TX
  • NPI 1790705200
  NPD Authorized official

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1891029963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2764",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398080",
            "telephone_number": "956-627-2414",
            "fax_number": "956-627-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL CLINIC PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "MATHAVAN",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "956-310-2439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0953",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "N0953",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "N0953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0043TJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208720701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR3128",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Ahmed Subhani, DDS
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• Mahmod Habibulah I Sultan, MD
• Emily Sun
• Claire Dorothy Sundjaja, MD
• Sunset Social Services
• Sunshine Medical Services
• Sunshine Pediatrics P.a.
• Super Kiddos Home Health
• Superior Home Care Incorporated

• Geriatric Medicine (Internal Medicine) Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.