Healthcare Provider Details

I. General information

NPI: 1396883781
Provider Name (Legal Business Name): HINA THEKDI PANDYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W HOLCOMBE BLVD
HOUSTON TX
77025-1313
US

IV. Provider business mailing address

5303 POCAHONTAS ST
BELLAIRE TX
77401-4822
US

V. Phone/Fax

Practice location:
  • Phone: 713-814-2800
  • Fax:
Mailing address:
  • Phone: 832-298-6719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberJ9256
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJ9256
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: