Provider Demographics
NPI:1154683969
Name:MATHUR, RUPAL D (MD)
Entity Type:Individual
Prefix:
First Name:RUPAL
Middle Name:D
Last Name:MATHUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RUPAL
Other - Middle Name:D
Other - Last Name:BHIMANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3100 WESLAYAN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5752
Mailing Address - Country:US
Mailing Address - Phone:713-299-1634
Mailing Address - Fax:
Practice Address - Street 1:3100 WESLAYAN ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5752
Practice Address - Country:US
Practice Address - Phone:713-299-1634
Practice Address - Fax:844-874-5970
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-251572207R00000X
TXQ3734207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine