1841200391 NPI number — APURVA LAPSIWALA MD

Table of content: APURVA LAPSIWALA MD (NPI 1841200391)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841200391 NPI number — APURVA LAPSIWALA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAPSIWALA
Provider First Name:
APURVA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841200391
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3571 W WHEATLAND RD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75237-3461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-274-5555
Provider Business Mailing Address Fax Number:
972-274-5663

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2698 N GALLOWAY AVE
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
MESQUITE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75150-6383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-681-4444
Provider Business Practice Location Address Fax Number:
214-635-3868
Provider Enumeration Date:
08/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  N5798 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 217037501 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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