Provider Demographics
NPI:1194743930
Name:THOMPSON, SAWEEN K S (MD)
Entity type:Individual
Prefix:DR
First Name:SAWEEN
Middle Name:K S
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9180 KATY FWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7436
Mailing Address - Country:US
Mailing Address - Phone:713-797-1919
Mailing Address - Fax:
Practice Address - Street 1:9180 KATY FWY STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7436
Practice Address - Country:US
Practice Address - Phone:713-797-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK39432085R0202X, 2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK3943OtherSTATE LICENSE
TXTXB127906Medicare PIN
TXK3943OtherSTATE LICENSE
TX143202301Medicare ID - Type UnspecifiedTX MEDICAID PROVIDER ID
TXH35456Medicare UPIN