Provider Demographics
NPI:1679575872
Name:SARANATHAN, KAS (MD)
Entity type:Individual
Prefix:DR
First Name:KAS
Middle Name:
Last Name:SARANATHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 SOUTHWEST FWY 354
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1805
Mailing Address - Country:US
Mailing Address - Phone:713-771-3831
Mailing Address - Fax:713-771-0263
Practice Address - Street 1:7777 SOUTHWEST FWY 354
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1805
Practice Address - Country:US
Practice Address - Phone:713-771-3831
Practice Address - Fax:713-771-0263
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7599207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00TF43OtherBLUE CROSS/BLUE SHIELD
TX123961801Medicaid
TX060016675OtherRAILROAD MEDICARE
TX4010902OtherAETNA
TX00TF43OtherBLUE CROSS/BLUE SHIELD
TXC21563Medicare UPIN