Individual
KANCHAN PHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BB20036710
TX
2085R0202X
Diagnostic Radiology Physician
P5874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346759901
—
TX
Enumeration date
03/01/2011
Last updated
04/15/2025
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