MEDICARE: DR. NIKHIL VILAS MUNSHI MD, PHD

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	207R00000X	Internal Medicine Physician	M3658	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
2	8U5636	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1457370249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIKHIL VILAS MUNSHI MD, PHD

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-8573
Country	:	US
Telephone Number	:	214-648-4001
Fax Number	:	214-648-1450

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-8573
Country	:	US
Telephone Number	:	214-648-4001
Fax Number	:	214-648-1450

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	12/21/2011

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