1750316279 NPI number — DR. ABBAS F LOKHANDWALA MD

Table of content: DR. ABBAS F LOKHANDWALA MD (NPI 1750316279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750316279 NPI number — DR. ABBAS F LOKHANDWALA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOKHANDWALA
Provider First Name:
ABBAS
Provider Middle Name:
F
Provider Name Prefix Text:
DR.
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:
1750316279
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13511 VIA CHIANTI LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CYPRESS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77429-4746
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-895-6255
Provider Business Mailing Address Fax Number:
281-251-5057

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17202 RED OAK DR
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77090-2647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-895-6255
Provider Business Practice Location Address Fax Number:
281-251-5057
Provider Enumeration Date:
07/12/2006

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:  K0902 , 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: 102678303 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com