Provider Demographics
NPI:1750669594
Name:GADE, HANUMAN S (DDS)
Entity Type:Individual
Prefix:
First Name:HANUMAN
Middle Name:S
Last Name:GADE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27819 DESERT MANOR LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6092
Mailing Address - Country:US
Mailing Address - Phone:713-679-8986
Mailing Address - Fax:
Practice Address - Street 1:5160 FRANZ RD STE 1B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1763
Practice Address - Country:US
Practice Address - Phone:281-371-3368
Practice Address - Fax:281-371-3372
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028770122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist