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Individual

DR. SANJIT O TEWARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
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
207UN0902X
Nuclear Imaging & Therapy Physician
267243
NY
2085R0204X
Vascular & Interventional Radiology Physician
2017022649
MO
2085R0204X
Vascular & Interventional Radiology Physician
267243
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
S8923
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
421298701
TX
01
421298702
MEDICAID - CSHCN
TX
Enumeration date
06/29/2009
Last updated
05/31/2021
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