Provider Demographics
NPI:1457370249
Name:MUNSHI, NIKHIL VILAS (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:VILAS
Last Name:MUNSHI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8573
Mailing Address - Country:US
Mailing Address - Phone:214-648-4001
Mailing Address - Fax:214-648-1450
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-8573
Practice Address - Country:US
Practice Address - Phone:214-648-4001
Practice Address - Fax:214-648-1450
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3658207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185080201Medicaid
TX8U5636OtherBCBS
TX8U5636OtherBCBS
TX8G7375Medicare PIN