Organization
NISHAN D. ADIHETTY MD, PLLC
Active
Organization
NISHAN D. ADIHETTY MD, PLLC
Active
Other names
PATHWAYS SPECIALTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ROTUNDA DOTSON (BILLING MANAGER)
(713) 876-7630
Entity
Organization
Contact information
Practice address
2219 SAWDUST RD STE 1004, SPRING, TX 77380-2580
(832) 856-1127
Mailing address
2219 SAWDUST RD STE 1004, SPRING, TX 77380-2580
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N5521
TEXAS MEDICAL BOARD
TX
Enumeration date
07/09/2020
Last updated
07/17/2020
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