Provider Demographics
NPI:1922295161
Name:AJINDER S. DHATT, MD, P.A.
Entity Type:Organization
Organization Name:AJINDER S. DHATT, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:AJINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:DHATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-781-9800
Mailing Address - Street 1:6260 WEST PARK DR.
Mailing Address - Street 2:STE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057
Mailing Address - Country:US
Mailing Address - Phone:713-781-9800
Mailing Address - Fax:713-339-2886
Practice Address - Street 1:6260 WESTPARK DR.
Practice Address - Street 2:STE. 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057
Practice Address - Country:US
Practice Address - Phone:713-781-9800
Practice Address - Fax:713-339-2886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191789001Medicaid
TX0066QHOtherBCBS OF TEXAS
TX191789001Medicaid