Healthcare Provider Details

I. General information

NPI: 1598079659
Provider Name (Legal Business Name): JATINDER P. K. HOTHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2010
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 NORTH LOOP W SOUTH TOWER FL 1
HOUSTON TX
77008-1532
US

IV. Provider business mailing address

1635 NORTH LOOP W SOUTH TOWER FL 1
HOUSTON TX
77008-1532
US

V. Phone/Fax

Practice location:
  • Phone: 713-867-2066
  • Fax:
Mailing address:
  • Phone: 713-867-2066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number24004
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301095898
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberS8189
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberS8189
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: