Provider Demographics
NPI:1336243914
Name:NEBHNANI, KAVITA GOPE
Entity type:Individual
Prefix:MRS
First Name:KAVITA
Middle Name:GOPE
Last Name:NEBHNANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 REGENCY SQUARE BLVD
Mailing Address - Street 2:STE 23008
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3202
Mailing Address - Country:US
Mailing Address - Phone:713-952-9920
Mailing Address - Fax:713-952-9274
Practice Address - Street 1:7100 REGENCY SQUARE BLVD
Practice Address - Street 2:STE 23008
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3202
Practice Address - Country:US
Practice Address - Phone:713-952-9920
Practice Address - Fax:713-952-9274
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies