Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | L0198 | TX |
Y | 111NI0900X | Internist | L0198 | TX |
N | 207RC0200X | Critical Care Medicine | L0198 | TX |
N | 207RP1001X | Pulmonary Disease | L0198 | TX |
N | 207RS0012X | Sleep Medicine | L0198 | TX |
NPI | 1043293616 |
---|---|
Provider Name | Dr. Bhakti Deepak Gidvani |
First Address | Houston, TX 77084-7885 |
Second Address | Houston, TX 77084-7885 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2005 |
Last Update Date | 12/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H82438 | (02) | TX |