Individual
DR. SANJAY GAUTAM ADHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 MOURSUND ST, HOUSTON, TX 77030
(800) 447-3422
Mailing address
5826 NEW TERRITORY BLVD STE 803, SUGAR LAND, TX 77479-5948
(832) 746-5905
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
Q0720
TX
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Q0270
TX
2084P0800X
Psychiatry Physician
Q0720
TX
Other
Enumeration date
06/22/2007
Last updated
10/12/2019
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