Provider Demographics
NPI:1457517419
Name:MAHAJAN-MERRITT, KAVITA (DO)
Entity Type:Individual
Prefix:
First Name:KAVITA
Middle Name:
Last Name:MAHAJAN-MERRITT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23802 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1510
Mailing Address - Country:US
Mailing Address - Phone:281-312-5400
Mailing Address - Fax:281-312-5440
Practice Address - Street 1:5510 ATASCOCITA RD
Practice Address - Street 2:SUITE 290
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2947
Practice Address - Country:US
Practice Address - Phone:281-312-5400
Practice Address - Fax:281-312-5440
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2659207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207702601OtherMEDICAID HUMBLE
TX207702602OtherMEDICAID KINGWOOD
TX8L21661Medicare PIN