Provider Demographics
NPI:1134744873
Name:MANOJ B VAKIL MD PA
Entity type:Organization
Organization Name:MANOJ B VAKIL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:B
Authorized Official - Last Name:VAKIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-464-7555
Mailing Address - Street 1:1801 NORTH LOOP W STE 42
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1445
Mailing Address - Country:US
Mailing Address - Phone:713-464-7555
Mailing Address - Fax:832-308-1272
Practice Address - Street 1:1801 NORTH LOOP W STE 42
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1445
Practice Address - Country:US
Practice Address - Phone:713-464-7555
Practice Address - Fax:832-308-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty