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NPI Code Detail

MEDICARE: DR. HEENA NARENDRA THAKKAR MD

MEDICARE:  DR. HEENA NARENDRA THAKKAR  MD
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
1208000000XPediatrics PhysicianE4953TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100T971OTHERTXBLUE CROSS / BLUE SHIELD

General Provider Information

NPI Number : 1558361923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEENA NARENDRA THAKKAR MD
Provider Business Mailing Address
First Line : 1740 W 27TH ST
Second Line : STE 305
City : HOUSTON
State : TX
Zip : 77008-1440
Country : US
Telephone Number : 713-861-7400
Fax Number : 713-861-7762
Provider Business Practice Location Address
First Line : 1740 W 27TH ST
Second Line : STE 305
City : HOUSTON
State : TX
Zip : 77008-1440
Country : US
Telephone Number : 713-861-4800
Fax Number : 713-861-7762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/09/2007

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Directions to “ DR. HEENA NARENDRA THAKKAR MD” Practice Location

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