Individual
IKI ADACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6621 FANNIN ST FL 20, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
6621 FANNIN ST FL 20, HOUSTON, TX 77030-2358
(832) 824-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
42954
TX
2086S0129X
Vascular Surgery Physician
42954
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
42954
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R0983
TX
Other
Enumeration date
09/09/2010
Last updated
10/19/2022
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