MEDICARE: DR. MANJIT K DHESI 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	174400000X	Specialist	G0890	TX

General Provider Information

NPI Number	:	1386611648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANJIT K DHESI M.D.

Provider Business Mailing Address
First Line	:	7440 F M 1960 WEST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070
Country	:	US
Telephone Number	:	281-955-7777
Fax Number	:	281-955-5905

Provider Business Practice Location Address
First Line	:	7440 F M 1960 WEST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070
Country	:	US
Telephone Number	:	281-955-7777
Fax Number	:	281-955-5905

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	08/11/2011

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