Healthcare Provider Details

I. General information

NPI: 1609628841
Provider Name (Legal Business Name): ANDREI GAFITA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 RICHMOND AVE STE 122
HOUSTON TX
77042-4622
US

IV. Provider business mailing address

9701 RICHMOND AVE STE 122
HOUSTON TX
77042-4622
US

V. Phone/Fax

Practice location:
  • Phone: 171-378-1620
  • Fax:
Mailing address:
  • Phone: 171-378-1620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License NumberW9406
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: