Provider Demographics
NPI:1457496119
Name:NIZAR A. DHOLAKIA, MD, PA
Entity Type:Organization
Organization Name:NIZAR A. DHOLAKIA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIZAR
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:DHOLAKIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-526-5955
Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:SUITE 1350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6900
Mailing Address - Country:US
Mailing Address - Phone:713-526-5955
Mailing Address - Fax:713-526-5987
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:SUITE 1350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-526-5955
Practice Address - Fax:713-526-5987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3400207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF82366Medicare UPIN