Provider Demographics
NPI:1235574526
Name:JAMBHEKAR, AMANI (MD)
Entity Type:Individual
Prefix:MRS
First Name:AMANI
Middle Name:
Last Name:JAMBHEKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22710 PROFESSIONAL DR STE 106
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6009
Mailing Address - Country:US
Mailing Address - Phone:281-315-8105
Mailing Address - Fax:281-315-8106
Practice Address - Street 1:13426 MEDICAL COMPLEX DR STE 175
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6453
Practice Address - Country:US
Practice Address - Phone:281-315-8105
Practice Address - Fax:281-315-8106
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS2999208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty