Provider Demographics
NPI:1962407007
Name:LELE, HIMALAYA E (MD)
Entity type:Individual
Prefix:DR
First Name:HIMALAYA
Middle Name:E
Last Name:LELE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6565 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 1070
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:515 W MAYFIELD RD
Practice Address - Street 2:SUITE 311
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2083
Practice Address - Country:US
Practice Address - Phone:817-466-7460
Practice Address - Fax:817-419-2512
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2016-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA15238R208600000X
TXM5000208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H93288Medicare UPIN
TXTXB149695Medicare PIN