MEDICARE: MARVI MANZOOR BUKHARI M.D.

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	207R00000X	Internal Medicine Physician	W0533	TX
2	207R00000X	Internal Medicine Physician	MD478728	PA
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1700440419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARVI MANZOOR BUKHARI M.D.

Provider Business Mailing Address
First Line	:	921 GESSNER RD STE 317
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 GESSNER RD STE 317
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2501
Country	:	US
Telephone Number	:	713-242-3000
Fax Number	:

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

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	01/20/2026

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