Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | Q5247 | TX |
N | 111NI0900X | Internist | Q5247 | TX |
N | 207RI0200X | Infectious Disease | Q5247 | TX |
NPI | 1033448303 |
---|---|
Provider Name | Manali Pednekar |
First Address | Houston, TX 77024-2301 |
Second Address | Humble, TX 77338-4217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2009 |
Last Update Date | 24/03/2020 |