Provider Demographics
NPI:1154410181
Name:RISHI HINGORANI, D.O. P.A.
Entity type:Organization
Organization Name:RISHI HINGORANI, D.O. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RISHI
Authorized Official - Middle Name:S
Authorized Official - Last Name:HINGORANI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-440-1400
Mailing Address - Street 1:1125 CYPRESS STATION DR
Mailing Address - Street 2:SUITE B 4
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3054
Mailing Address - Country:US
Mailing Address - Phone:281-440-1400
Mailing Address - Fax:281-440-9915
Practice Address - Street 1:1125 CYPRESS STATION DR
Practice Address - Street 2:SUITE B 4
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3054
Practice Address - Country:US
Practice Address - Phone:281-440-1400
Practice Address - Fax:281-440-9915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7754207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0068PCOtherBLUE CROSS BLUE SHIELD TX
TX186830901Medicaid
TX186830901Medicaid
TXI17068Medicare UPIN