1518162130 NPI number — NEETEE NADKARNI GADGIL DO, MPH

Table of content: NEETEE NADKARNI GADGIL DO, MPH (NPI 1518162130)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518162130 NPI number — NEETEE NADKARNI GADGIL DO, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GADGIL
Provider First Name:
NEETEE
Provider Middle Name:
NADKARNI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO, MPH
Provider Gender Code:
F

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:
1518162130
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23960 KATY FWY STE 140
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KATY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77494-0892
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-505-6760
Provider Business Mailing Address Fax Number:
281-505-6761

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23960 KATY FWY STE 140
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77494-0892
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-505-6760
Provider Business Practice Location Address Fax Number:
281-505-6761
Provider Enumeration Date:
06/15/2007

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: 207Q00000X , with the licence number:  20A9463 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: M5717 , 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)