Organization
DIPTI BAVISHI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPTI BAVISHI MD (PHYSICIAN)
(713) 541-0000
Entity
Organization
Contact information
Practice address
7777 SOUTHWEST FWY, STE 544, HOUSTON, TX 77074-1802
(713) 541-0000
(713) 541-0087
Mailing address
7777 SOUTHWEST FWY, STE 544, HOUSTON, TX 77074-1802
(713) 541-0000
(713) 541-0087
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K2413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030119401
—
TX
01
—
1952348898
NPI
—
Enumeration date
04/16/2012
Last updated
04/16/2012
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