Provider Demographics
NPI:1851597793
Name:DHATT, AJINDER S (MD)
Entity Type:Individual
Prefix:
First Name:AJINDER
Middle Name:S
Last Name:DHATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6260 WESTPARK DR STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7312
Mailing Address - Country:US
Mailing Address - Phone:713-781-9800
Mailing Address - Fax:713-339-2886
Practice Address - Street 1:6260 WESTPARK DR STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7312
Practice Address - Country:US
Practice Address - Phone:713-781-9800
Practice Address - Fax:713-339-2886
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM47612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AR210OtherBCBS OF TEXAS
TX8AN218OtherBCBS OF TEXAS
TX186051202Medicaid
TX8F7148Medicare PIN