Provider Demographics
NPI:1427242171
Name:EAPEN, SONIA PUTHOORAN (MD)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:PUTHOORAN
Last Name:EAPEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SONIA
Other - Middle Name:ANNA
Other - Last Name:EAPEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8619 BROADWAY ST
Mailing Address - Street 2:STE 202
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8782
Mailing Address - Country:US
Mailing Address - Phone:281-485-7200
Mailing Address - Fax:281-485-7202
Practice Address - Street 1:8619 BROADWAY ST
Practice Address - Street 2:STE 202
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8782
Practice Address - Country:US
Practice Address - Phone:281-485-7200
Practice Address - Fax:281-485-7202
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6589207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism