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Organization

DIPTI BAVISHI MD PLLC

Active
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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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