Peter Sullivan, DO is a
Student In An Organized Health Care Education/training Program physician based in Houston, Texas. Peter Sullivan is licensed to practice in * (Not Available) (license number ) and his current practice location is 6410 Fannin St Ste 420, Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(832) 325-7280.
NPI number for Peter Sullivan is 1306292024 and his current mailing address is Kumc 3901 Rainbow Blvd Ms 1034, Kansas City, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306292024.
Physician's Profile
| Full Name | Peter Sullivan |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 6410 Fannin St Ste 420, Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306292024
- Provider Enumeration Date: 05/12/2016
- Last Update Date: 02/16/2022
Medical Identifiers
Medical identifiers for Peter Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306292024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 9408895 (Kansas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peter Sullivan, DO
Kumc 3901 Rainbow Blvd Ms 1034,
Kansas City, KS 66160-0001
Ph: (913) 588-3302 | Peter Sullivan, DO
6410 Fannin St Ste 420,
Houston, TX 77030-3007
Ph: (832) 325-7280 |
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