Provider Demographics
NPI:1528388246
Name:RAJESH SHENAVA & ASSOCIATES MD PA
Entity Type:Organization
Organization Name:RAJESH SHENAVA & ASSOCIATES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:G
Authorized Official - Last Name:SHENAVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-869-3333
Mailing Address - Street 1:7941 KATY FWY # 214
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1924
Mailing Address - Country:US
Mailing Address - Phone:713-869-3333
Mailing Address - Fax:713-869-3338
Practice Address - Street 1:1801 NORTH LOOP W STE 35
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1445
Practice Address - Country:US
Practice Address - Phone:713-869-3333
Practice Address - Fax:713-869-3338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4091207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty