Provider Demographics
NPI:1093723132
Name:INAMDAR, NIKHIL V (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:V
Last Name:INAMDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1015 MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4011
Mailing Address - Country:US
Mailing Address - Phone:281-484-6264
Mailing Address - Fax:281-484-0740
Practice Address - Street 1:11920 ASTORIA BLVD
Practice Address - Street 2:STE 410
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6155
Practice Address - Country:US
Practice Address - Phone:281-480-6264
Practice Address - Fax:281-484-0740
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7011207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8436K1OtherBCBS PROVIDER NUMBER
TX101741003Medicaid
TX7702021OtherAETNA PROVIDER NUMBER
TX3589OtherMHHNP PROVIDER NUMBER
TX8436K1Medicare PIN
TX100014512Medicare PIN
TX3589OtherMHHNP PROVIDER NUMBER