MEDICARE: BHUPATRAI VACHHANI MD & MANOJ VAKIL MD PTR

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

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609075399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHUPATRAI VACHHANI MD & MANOJ VAKIL MD PTR

Provider Business Mailing Address
First Line	:	6503 ANTOINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-1203
Country	:	US
Telephone Number	:	713-686-1835
Fax Number	:	713-686-0379

Provider Business Practice Location Address
First Line	:	6503 ANTOINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-1203
Country	:	US
Telephone Number	:	713-686-1835
Fax Number	:	713-686-0379

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. DIANNE D PEDERSON
Credential	:
Telephone Number	:	713-686-1835

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	06/13/2008

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