Healthcare Provider Details

I. General information

NPI: 1073773032
Provider Name (Legal Business Name): RASHMI KUDESIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 GESSNER RD STE 2300
HOUSTON TX
77024-2585
US

IV. Provider business mailing address

929 GESSNER RD STE 2300
HOUSTON TX
77024-2585
US

V. Phone/Fax

Practice location:
  • Phone: 713-465-1211
  • Fax:
Mailing address:
  • Phone: 713-465-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number253918
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberR5150
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: