Provider Demographics
NPI:1003091778
Name:GIDVANI, MONISHA PARVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:MONISHA
Middle Name:PARVIN
Last Name:GIDVANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MONISHA
Other - Middle Name:
Other - Last Name:ADVANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5001 KIRKLAND CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3452
Mailing Address - Country:US
Mailing Address - Phone:972-403-0319
Mailing Address - Fax:
Practice Address - Street 1:8160 WALNUT HILL LN
Practice Address - Street 2:SUITE 210
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4339
Practice Address - Country:US
Practice Address - Phone:214-345-2318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000803207V00000X
MN51113207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology