Provider Demographics
NPI:1083775324
Name:SOLANKI, DANESHVARI R (FFARCS)
Entity Type:Individual
Prefix:
First Name:DANESHVARI
Middle Name:R
Last Name:SOLANKI
Suffix:
Gender:M
Credentials:FFARCS
Other - Prefix:
Other - First Name:DANESHVARI
Other - Middle Name:R
Other - Last Name:SOLANKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FFARCS
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0122
Mailing Address - Country:US
Mailing Address - Phone:409-772-0848
Mailing Address - Fax:409-772-0885
Practice Address - Street 1:1804 FM 646 W., STE. N
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573
Practice Address - Country:US
Practice Address - Phone:409-772-0848
Practice Address - Fax:409-772-0885
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5049207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX039910701Medicaid
TXD69127Medicare UPIN
TX82011NMedicare ID - Type Unspecified