Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | BP10042985 | TX |
NPI | 1417292947 |
---|---|
Provider Name | Dr. Bhakti Avinash Gangapurkar |
First Address | Houston, TX 77030-3268 |
Second Address | Houston, TX 77030-3411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2012 |
Last Update Date | 16/12/2021 |