Healthcare Provider Details

I. General information

NPI: 1407048549
Provider Name (Legal Business Name): ABHIJEET DHOBLE M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6431 FANNIN ST. SUITE 1.224
HOUSTON TX
77030-1501
US

IV. Provider business mailing address

6431 FANNIN ST SUITE 1.224
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-6071
  • Fax: 713-512-2245
Mailing address:
  • Phone: 713-500-6071
  • Fax: 713-512-2245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberQ3870
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberQ3870
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberQ3870
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: