MEDICARE: MRS. KAVITA GOPE NEBHNANI

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	332B00000X	Durable Medical Equipment & Medical Supplies		TX

General Provider Information

NPI Number	:	1336243914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAVITA GOPE NEBHNANI

Provider Business Mailing Address
First Line	:	7100 REGENCY SQUARE BLVD
Second Line	:	STE 23008
City	:	HOUSTON
State	:	TX
Zip	:	77036-3202
Country	:	US
Telephone Number	:	713-952-9920
Fax Number	:	713-952-9274

Provider Business Practice Location Address
First Line	:	7100 REGENCY SQUARE BLVD
Second Line	:	STE 23008
City	:	HOUSTON
State	:	TX
Zip	:	77036-3202
Country	:	US
Telephone Number	:	713-952-9920
Fax Number	:	713-952-9274

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	07/08/2007

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