Provider Demographics
NPI:1588076053
Name:VIMAL CHHEDA,DDS
Entity type:Organization
Organization Name:VIMAL CHHEDA,DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VIMAL
Authorized Official - Middle Name:N
Authorized Official - Last Name:CHHEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-988-3778
Mailing Address - Street 1:8191 SOUTHWEST FWY
Mailing Address - Street 2:111
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1709
Mailing Address - Country:US
Mailing Address - Phone:713-988-3778
Mailing Address - Fax:713-988-1832
Practice Address - Street 1:8191 SOUTHWEST FWY
Practice Address - Street 2:111
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1709
Practice Address - Country:US
Practice Address - Phone:713-988-3778
Practice Address - Fax:713-988-1832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22802122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180356101Medicaid