MEDICARE: HINA THEKDI PANDYA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	J9256	TX
2	207R00000X	Internal Medicine Physician	J9256	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396883781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HINA THEKDI PANDYA MD

Provider Business Mailing Address
First Line	:	5303 POCAHONTAS ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4822
Country	:	US
Telephone Number	:	832-298-6719
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 W HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1313
Country	:	US
Telephone Number	:	713-814-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	09/19/2024

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