Provider Demographics
NPI:1407885163
Name:PODDER, HEMANGSHU (MD)
Entity Type:Individual
Prefix:
First Name:HEMANGSHU
Middle Name:
Last Name:PODDER
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 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1601
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-5141
Mailing Address - Fax:713-790-6470
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1601
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-5141
Practice Address - Fax:713-790-6470
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9430204F00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DZ027OtherBCBS
TX1407885163OtherBLUE CROSS BLUE SHIELD
TX145267401Medicaid
TX145267404Medicaid
TXP01337853OtherRR MEDICARE
TX8CV583OtherBCBS
TX8A4332OtherBCBS
TX020049972OtherRAILROAD MEDICARE
TX145267405Medicaid
TXTXB133082Medicare PIN
TXTXB153413Medicare PIN
TXTXB145099Medicare PIN
TX8A4332OtherBCBS
TX145267405Medicaid