Provider Demographics
NPI:1831534700
Name:MASCARENHAS, RANDHIR FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:RANDHIR
Middle Name:FRANCIS
Last Name:MASCARENHAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6400 FANNIN ST STE 1700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1526
Mailing Address - Country:US
Mailing Address - Phone:713-486-7500
Mailing Address - Fax:713-512-2234
Practice Address - Street 1:5656 KELLEY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77026-1967
Practice Address - Country:US
Practice Address - Phone:713-873-8890
Practice Address - Fax:713-566-6137
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2018-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036.132536207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX338846401Medicaid