Provider Demographics
NPI:1003863986
Name:NIGAM, MOOL P (MD)
Entity Type:Individual
Prefix:DR
First Name:MOOL
Middle Name:P
Last Name:NIGAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4615 NORTH FWY 206B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-2920
Mailing Address - Country:US
Mailing Address - Phone:713-695-6200
Mailing Address - Fax:888-977-1299
Practice Address - Street 1:4615 NORTH FWY 206B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-2920
Practice Address - Country:US
Practice Address - Phone:832-524-0815
Practice Address - Fax:888-977-1299
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2015-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF85942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B25166Medicare UPIN