Healthcare Provider Details

I. General information

NPI: 1427693506
Provider Name (Legal Business Name): HUFSAH BHATTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8570 WESTHEIMER RD
HOUSTON TX
77063-4212
US

IV. Provider business mailing address

2536 AMHERST ST STE A
HOUSTON TX
77005-3207
US

V. Phone/Fax

Practice location:
  • Phone: 832-242-2030
  • Fax:
Mailing address:
  • Phone: 713-490-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number2901600324
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number39254
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: