NPI Code Details Logo

NPI 1194010512

NPI 1194010512 : AVANTI LATTHE GANDHI M.D. : AUSTIN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194010512
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AVANTI LATTHE GANDHI M.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/14/2011
-----------------------------------------------------
    Last Update Date     |    09/20/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7800 SHOAL CREEK BLVD STE 134S 
-----------------------------------------------------
    City                 |    AUSTIN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78757-1014
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-430-2032
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    150 PINE FOREST DR STE 110 
-----------------------------------------------------
    City                 |    SHENANDOAH
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77384-5303
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    281-709-2555
-----------------------------------------------------
    Fax                  |    281-440-9915
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    Q6627
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RH0002X
-----------------------------------------------------
    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    Q6627
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    208M00000X
-----------------------------------------------------
    Taxonomy Name        |    Hospitalist Physician
-----------------------------------------------------
    License Number       |    Q6627
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.