MEDICARE: DR. MADHUKAR KAW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	L0320	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164634747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MADHUKAR KAW M.D.

Provider Business Mailing Address
First Line	:	12121 RICHMOND AVE
Second Line	:	SUITE 424
City	:	HOUSTON
State	:	TX
Zip	:	77082-2432
Country	:	US
Telephone Number	:	832-379-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	12121 RICHMOND AVE STE 424
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2439
Country	:	US
Telephone Number	:	832-379-8603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/14/2011

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