Provider Demographics
NPI:1912128687
Name:SANGEETA SAIKIA MD PA
Entity type:Organization
Organization Name:SANGEETA SAIKIA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANGEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIKIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-980-2010
Mailing Address - Street 1:16651 SOUTHWEST FREEWAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2345
Mailing Address - Country:US
Mailing Address - Phone:281-980-2010
Mailing Address - Fax:281-980-2321
Practice Address - Street 1:16651 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 310
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2345
Practice Address - Country:US
Practice Address - Phone:281-980-2010
Practice Address - Fax:281-980-2321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4223207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179332501Medicaid
TX0036NBOtherBLUE CROSS BLUE SHIELD
TX00251ZMedicare PIN
TX179332501Medicaid