1073523494 NPI number — H S KOCHAR MD PA

Table of content: (NPI 1073523494)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073523494 NPI number — H S KOCHAR MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
H S KOCHAR MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1073523494
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 924766
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77292-4766
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-863-0902
Provider Business Mailing Address Fax Number:
713-863-7107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1631 NORTH LOOP W
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77008-1528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-863-0902
Provider Business Practice Location Address Fax Number:
713-863-7107
Provider Enumeration Date:
08/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KOCHAR
Authorized Official First Name:
HARMOHINDER
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OWNER PRESIDENT
Authorized Official Telephone Number:
713-863-0902

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  J0554 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: J0554 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0200X , with the licence number: J0554 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: J0554 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RS0012X , with the licence number: J0554 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 156883401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: CK8718 . This is a "RR MEDICARE GROUP NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1568834-02 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 002229700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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