Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | S6303 | TX |
N | 111NI0900X | Internist | S6303 | TX |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | S6303 | TX |
NPI | 1053799064 |
---|---|
Provider Name | Akhil Shenoy |
First Address | Humble, TX 77338-3916 |
Second Address | Houston, TX 77024-2528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2015 |
Last Update Date | 08/02/2022 |