Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P0643 | TX |
N | 111NI0900X | Internist | P0643 | TX |
N | 207RH0002X | Hospice and Palliative Medicine | P0643 | TX |
NPI | 1093010878 |
---|---|
Provider Name | Rupesh Nigam |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77030-2312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2011 |
Last Update Date | 14/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
284239501 | (05) | TX |
284239502 | (05) | TX |
284239503 | (05) | TX |