Provider Demographics
NPI:1386843944
Name:DIPIKA S AMBANI MD PLLC
Entity Type:Organization
Organization Name:DIPIKA S AMBANI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIPIKA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AMBANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-272-7600
Mailing Address - Street 1:7400 FANNIN ST STE 840
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1934
Mailing Address - Country:US
Mailing Address - Phone:713-272-7600
Mailing Address - Fax:713-272-7650
Practice Address - Street 1:7400 FANNIN ST STE 840
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1934
Practice Address - Country:US
Practice Address - Phone:713-272-7600
Practice Address - Fax:713-272-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3857207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX189798503Medicaid
TX00Y362Medicare PIN
TX189798501Medicaid