Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35083921 | OH |
N | 207V00000X | Obstetrician & Gynecologist | N7857 | TX |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | N7857 | TX |
NPI | 1013085174 |
---|---|
Provider Name | Apurva Pancholy |
First Address | Houston, TX 77024-2667 |
Second Address | Houston, TX 77024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 30/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H42361 | (02) |