Provider Demographics
NPI:1003214008
Name:GULSHAN K, MINOCHA. MD.PA
Entity type:Organization
Organization Name:GULSHAN K, MINOCHA. MD.PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GULSHAN
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:MINOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:361-572-0000
Mailing Address - Street 1:2700 CITIZENS PLAZA
Mailing Address - Street 2:406
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901
Mailing Address - Country:US
Mailing Address - Phone:361-572-0000
Mailing Address - Fax:361-574-1787
Practice Address - Street 1:2700 CITIZENS PLAZA
Practice Address - Street 2:406
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901
Practice Address - Country:US
Practice Address - Phone:361-572-0000
Practice Address - Fax:361-574-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000KB650Medicaid
TXOOKB65Medicare UPIN