MEDICARE: HARAPPA, LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1659619484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARAPPA, LLC

Provider Business Mailing Address
First Line	:	7777 SOUTHWEST FWY STE 544
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1809
Country	:	US
Telephone Number	:	713-541-0000
Fax Number	:	713-541-0087

Provider Business Practice Location Address
First Line	:	7777 SOUTHWEST FWY STE 544
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1809
Country	:	US
Telephone Number	:	713-541-0000
Fax Number	:	713-541-0087

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DIPTI BAVISHI
Credential	:	MD
Telephone Number	:	713-541-0000

Provider Enumeration Date	:	01/29/2013
Last Update Date	:	04/23/2015

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Directions to “HARAPPA, LLC ” Practice Location

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