Provider Demographics
NPI:1831190032
Name:MINOCHA, GULSHAN K (MD)
Entity type:Individual
Prefix:DR
First Name:GULSHAN
Middle Name:K
Last Name:MINOCHA
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 1:2700 CITIZENS PLZ
Mailing Address - Street 2:SUITE 406
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5754
Mailing Address - Country:US
Mailing Address - Phone:361-572-0000
Mailing Address - Fax:361-574-1787
Practice Address - Street 1:2700 CITIZENS PLZ
Practice Address - Street 2:SUITE 406
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5754
Practice Address - Country:US
Practice Address - Phone:361-572-0000
Practice Address - Fax:361-574-1787
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6044174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist