Provider Demographics
NPI:1255381414
Name:JOGLEKAR, SAMIR (MD)
Entity type:Individual
Prefix:
First Name:SAMIR
Middle Name:
Last Name:JOGLEKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16605 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 175
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-0003
Mailing Address - Country:US
Mailing Address - Phone:713-777-5334
Mailing Address - Fax:713-429-5207
Practice Address - Street 1:16605 SOUTHWEST FWY
Practice Address - Street 2:SUITE 175
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-0003
Practice Address - Country:US
Practice Address - Phone:713-777-5334
Practice Address - Fax:713-429-5207
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5132208M00000X, 207R00000X, 207RG0300X
GA051822207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CW376OtherBCBS TX
TX0232674OtherCIGNA
TX7480432OtherAETNA
TX2273508OtherUHC
TXTXB127440OtherMEDICARE
GA000964367BMedicaid
TX210702102OtherMEDICAID
TXP00959958OtherRR MEDICARE
TX7480432OtherAETNA