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Individual

DR. ATIYA DHALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6470
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6470

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
45835
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L3280
TX
207RP1001X
Pulmonary Disease Physician
224339-1
NY
207RP1001X
Pulmonary Disease Physician
45835
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02356370
NY
05
354500601
TX
05
354500602
TX
01
8FS544
BLUE CROSS BLUE SHIELD
TX
01
8GD863
BCBS
TX
Enumeration date
08/31/2006
Last updated
10/18/2017
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