# DR. GIRISH GIDWANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710148622
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 125054679 | IL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | P9575 | TX | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 11/03/2014