Provider Demographics
NPI:1538341995
Name:ARTFUL COSMETIC & SKIN CANCER SURGERY CENTERS PA
Entity type:Organization
Organization Name:ARTFUL COSMETIC & SKIN CANCER SURGERY CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILUKURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-443-8731
Mailing Address - Street 1:4811 VALERIE ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5705
Mailing Address - Country:US
Mailing Address - Phone:713-443-8731
Mailing Address - Fax:
Practice Address - Street 1:6565 WEST LOOP S STE 800
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3505
Practice Address - Country:US
Practice Address - Phone:713-443-8731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3498207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH97791Medicare UPIN