Provider Demographics
NPI:1558757716
Name:TANG, MEHWISH (MD)
Entity Type:Individual
Prefix:
First Name:MEHWISH
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEHWISH
Other - Middle Name:
Other - Last Name:ISMAILY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:513 W SAULNIER ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4428
Mailing Address - Country:US
Mailing Address - Phone:713-244-4858
Mailing Address - Fax:
Practice Address - Street 1:6624 FANNIN ST STE 2260
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2334
Practice Address - Country:US
Practice Address - Phone:713-795-0770
Practice Address - Fax:713-795-0855
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6417207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism