Provider Demographics
NPI:1235134271
Name:MEHENDALE, NEELESH H (MD)
Entity Type:Individual
Prefix:DR
First Name:NEELESH
Middle Name:H
Last Name:MEHENDALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10740 N GESSNER RD STE 310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:800-346-9037
Practice Address - Street 1:4401 COIT RD
Practice Address - Street 2:STE 411
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0520
Practice Address - Country:US
Practice Address - Phone:972-731-7654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7828207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00787PMedicare ID - Type Unspecified
H88690Medicare ID - Type Unspecified