Provider Demographics
NPI:1316038003
Name:BHALANI, VAISHALI (MD)
Entity Type:Individual
Prefix:DR
First Name:VAISHALI
Middle Name:
Last Name:BHALANI
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 1:1801 BINZ ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7296
Mailing Address - Country:US
Mailing Address - Phone:713-522-3333
Mailing Address - Fax:713-522-4434
Practice Address - Street 1:7400 FANNIN ST STE 930
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-790-1683
Practice Address - Fax:713-790-1686
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007014746207V00000X
OH35094233207V00000X
TXQ4030207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2990036Medicaid
OH2990036Medicaid