Provider Demographics
NPI:1013132059
Name:HARPAVAT, SANDHYA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANDHYA
Middle Name:
Last Name:HARPAVAT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 E BROADWAY
Mailing Address - Street 2:SUITE #B DENTISTRY 4 CHILDREN
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581
Mailing Address - Country:US
Mailing Address - Phone:281-485-7012
Mailing Address - Fax:281-485-3376
Practice Address - Street 1:2015 E BROADWAY
Practice Address - Street 2:STE B
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581
Practice Address - Country:US
Practice Address - Phone:281-485-7012
Practice Address - Fax:281-485-3376
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22940208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics