Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | L9430 | TX |
Y | 208200000X | Surgeon | L9430 | TX |
Y | 208600000X | Surgeon | L9430 | TX |
NPI | 1407885163 |
---|---|
Provider Name | Hemangshu Podder |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 17/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020049972 | RAILROAD MEDICARE (01) | TX |
1407885163 | BLUE CROSS BLUE SHIELD (01) | TX |
145267401 | (05) | TX |
145267404 | (05) | TX |
145267405 | (05) | TX |
8A4332 | BCBS (01) | TX |
8CV583 | BCBS (01) | TX |
8DZ027 | BCBS (01) | TX |
H46017 | (02) | TX |
P01337853 | RR MEDICARE (01) | TX |