Provider Demographics
NPI:1518137868
Name:NANAVATI, RUPA LEKH (MD)
Entity Type:Individual
Prefix:DR
First Name:RUPA
Middle Name:LEKH
Last Name:NANAVATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RUPA
Other - Middle Name:RASHMIKANT
Other - Last Name:ANTANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2229 ANN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-1146
Mailing Address - Country:US
Mailing Address - Phone:713-444-6548
Mailing Address - Fax:
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0002
Practice Address - Country:US
Practice Address - Phone:858-642-3197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA983482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology