Provider Demographics
NPI:1508846858
Name:VANKAWALA, HEMANT H (MD)
Entity Type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:H
Last Name:VANKAWALA
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 1:6045 ALMA RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2188
Mailing Address - Country:US
Mailing Address - Phone:972-908-2383
Mailing Address - Fax:972-908-3362
Practice Address - Street 1:6045 ALMA RD
Practice Address - Street 2:SUITE 110
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2188
Practice Address - Country:US
Practice Address - Phone:972-908-2383
Practice Address - Fax:972-908-3362
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7234207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K9262OtherBCBS
TXP00150151OtherMEDICARE RAILROAD
TX164784401Medicaid
TX8K9262OtherBCBS
TX8B5745Medicare ID - Type Unspecified