PERIN GOMER SUTHAKAR MD NPI 1235382912

NPI Information

  • NPI: 1235382912
  • Provider Name: PERIN GOMER SUTHAKAR MD
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 540 MADISON OAK DR
    SUITE 130
    SAN ANTONIO, TX
    ZIP 78258
  • Phone: (210) 483-9800

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NPI Details

PERIN GOMER SUTHAKAR MD is a medical specialty clinic center in San Antonio, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PERIN GOMER SUTHAKAR MD NPI is 1235382912. The provider is registered as an organization entity type.

The provider's business location address is:

540 MADISON OAK DR
SUITE 130
SAN ANTONIO, TX
ZIP 78258-943
Phone: (210) 483-9800

The provider's authorized official is Perin Gomer Suthakar .
The authorized official title is Md and has the following contact phone number (210) 483-9800.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 2/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyN0489TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F82325MEDICARE UPINCALIFORNIA
200Z750MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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