Provider Demographics
NPI:1194043307
Name:CUDDAPAH, SANMATI RAO (MD)
Entity type:Individual
Prefix:
First Name:SANMATI
Middle Name:RAO
Last Name:CUDDAPAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SANMATI
Other - Middle Name:DANDINA
Other - Last Name:RAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6701 FANNIN ST STE 1560
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2614
Mailing Address - Country:US
Mailing Address - Phone:832-822-2100
Mailing Address - Fax:
Practice Address - Street 1:6701 FANNIN ST STE 1560
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2614
Practice Address - Country:US
Practice Address - Phone:832-822-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD455257207SG0201X
TXV4100208000000X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No208000000XAllopathic & Osteopathic PhysiciansPediatrics