Provider Demographics
NPI:1700856648
Name:CHATHA, RUPI K (MD)
Entity Type:Individual
Prefix:DR
First Name:RUPI
Middle Name:K
Last Name:CHATHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 GESSNER RD
Mailing Address - Street 2:#360
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2527
Mailing Address - Country:US
Mailing Address - Phone:713-468-5440
Mailing Address - Fax:713-973-0778
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:#360
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-468-5440
Practice Address - Fax:713-973-0778
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6374174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038188101Medicaid
TX84320XMedicare ID - Type Unspecified
TXG30712Medicare UPIN