Individual
DR. NISHA RATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L4665
TX
207RP1001X
Pulmonary Disease Physician
L4665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110236237
RAILROAD MEDICARE
TX
05
—
150566102
—
TX
05
—
150566103 (MDACC)
—
TX
01
—
8A4311
BCBSTX
—
01
—
8U4513
BCBS (MDACC)
TX
01
—
P00663634
RR MEDICARE (MDACC)
TX
Enumeration date
05/30/2007
Last updated
07/19/2012
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