Provider Demographics
NPI:1922064724
Name:DUDHBHAI, MUNIRA (MD)
Entity Type:Individual
Prefix:
First Name:MUNIRA
Middle Name:
Last Name:DUDHBHAI
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 1:560 W MAIN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3665
Mailing Address - Country:US
Mailing Address - Phone:972-956-8008
Mailing Address - Fax:972-956-8015
Practice Address - Street 1:560 W MAIN ST STE 107
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3665
Practice Address - Country:US
Practice Address - Phone:972-956-8008
Practice Address - Fax:972-956-8015
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7901207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170107OtherUPIN
TX325789102Medicaid