1871837435 NPI number — WOMENS OBGYN CARE PLLC

Table of content: DR. CHETHAN KRISHNA RAO D.O. (NPI 1720519713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871837435 NPI number — WOMENS OBGYN CARE PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMENS OBGYN CARE PLLC
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:
1871837435
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7777 SOUTHWEST FWY
Provider Second Line Business Mailing Address:
454
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77074-1802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-397-7677
Provider Business Mailing Address Fax Number:
713-334-1319

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7777 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
454
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77074-1802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-397-7677
Provider Business Practice Location Address Fax Number:
713-344-1319
Provider Enumeration Date:
11/20/2012

Additional Information

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
JAYSHREE
Authorized Official Middle Name:
P
Authorized Official Title or Position:
MEMBER MANAGER
Authorized Official Telephone Number:
989-397-7677

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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