Healthcare Provider Details

I. General information

NPI: 1497793301
Provider Name (Legal Business Name): BHUPENDRA T TURAKHIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 BLOSSOM ST SUITE D
WEBSTER TX
77598
US

IV. Provider business mailing address

450 BLOSSOM ST SUITE D
WEBSTER TX
77598-4228
US

V. Phone/Fax

Practice location:
  • Phone: 832-905-5940
  • Fax: 832-905-5941
Mailing address:
  • Phone: 832-905-5940
  • Fax: 832-905-5941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberF1282
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: