Healthcare Provider Details

I. General information

NPI: 1306103213
Provider Name (Legal Business Name): ALPANA SENAPATI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 S COTTONWOOD ST
MURRAY UT
84107-5701
US

IV. Provider business mailing address

6550 FANNIN ST STE 1901
HOUSTON TX
77030-2719
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-3500
  • Fax:
Mailing address:
  • Phone: 713-441-1100
  • Fax: 713-790-2643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberR7884
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number11783709-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: