Provider Demographics
NPI:1407048549
Name:DHOBLE, ABHIJEET (MD, MPH)
Entity Type:Individual
Prefix:
First Name:ABHIJEET
Middle Name:
Last Name:DHOBLE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:SUITE 1.224
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-6071
Mailing Address - Fax:713-512-2245
Practice Address - Street 1:6431 FANNIN ST.
Practice Address - Street 2:SUITE 1.224
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-6071
Practice Address - Fax:713-512-2245
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3870207R00000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX345526301Medicaid
TX408062YKY3Medicare Oscar/Certification
MNENROLLEDMedicaid