DIPAL KAUSHIK DIVECHA


Address: 1701 Sunset Blvd, Houston, TX 77005-1713
Phone: 7135265511

DIPAL KAUSHIK DIVECHA (NPI# 1023351384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023351384
Entity Type Individual
Full Name DIPAL KAUSHIK DIVECHA
Credential PA-C
Practice Address 1701 Sunset Blvd
Houston
TX 77005-1713
Practice Telephone 7135265511
Practice Fax Number 7135204755
Mailing Telephone 7135265511
Mailing Fax Number 7135204755
Enumeration Date 2013-04-04
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA08285 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICAL LICENSE PA08285 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
16701 Creek Bend Dr # 500, Sugar Land, TX 774783395 2812650402 2812650409

Office Location

Street Address 1701 SUNSET BLVD
City HOUSTON
State TX
Zip Code 77005-1713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912996679 Aparna P. Kulkarni Internal Medicine 1701 Sunset Blvd, Houston, TX 77005-1713 2005-10-17
1386253201 Nettah Ndungu Registered Nurse 1701 Sunset Blvd, Houston, TX 77005-1713 2020-07-27
1093363145 Jaclyn Perkins Dietitian, Registered 1701 Sunset Blvd, Houston, TX 77005-1798 2019-09-02
1750866133 Soumya Philip Nurse Practitioner 1701 Sunset Blvd, Houston, TX 77005-1713 2018-10-01
1437695426 Sarah Elyse Horn Dietitian, Registered 1701 Sunset Blvd, Houston, TX 77005-1798 2017-01-13
1174979728 Kayla Krug Internal Medicine 1701 Sunset Blvd, Houston, TX 77005-1798 2016-05-12
1972989325 Priyanka Bhugra Internal Medicine 1701 Sunset Blvd, Houston, TX 77005 2015-08-08
1053798447 Sharon Xinran Li Internal Medicine 1701 Sunset Blvd, Houston, TX 77005-1798 2015-05-05
1912313446 Kassi Kae Beasley Dietitian, Registered 1701 Sunset Blvd, Houston, TX 77005-1713 2014-07-03
1568807014 Devesh Ajit Upadhya Internal Medicine 1701 Sunset Blvd, Houston, TX 77005-1713 2013-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952884322 Jand. Inc. Eyewear Supplier (Equipment, not the service) 2518 University Blvd, Houston, TX 77005 2018-09-12
1669987939 Rebeca Matamoros Dietitian, Registered 6311 Buffalo Speedway, Houston, TX 77005 2017-12-08
1518494863 Cscb Rehabilitation Management Group, LLC Substance Abuse Rehabilitation Facility 1 Lile Court, Suite 103, Little Rock, AR 77005 2017-05-17
1194273490 Yashika Pande Dentist 6137 Kirby Dr., Houston, TX 77005 2016-09-14
1932653300 Ally Surgical First Assist.llc Registered Nurse 1747 Wroxton Ct Suite 1, Houston, TX 77005 2016-08-15
1477892966 Kelli Galle Nurse Practitioner 2455 Dunstan Rd Ste 360, Houston, TX 77005 2013-02-05
1831448778 Hsre-bridgewood Trs II, LLC Alzheimer Center (Dementia Center) 4141 N. Braeswood Blvd., Houston, TX 77005 2012-09-06
1013213313 Ramsey Rice Village Pllc Dentist 2402-c Rice Blvd, Houston, TX 77005 2011-02-03
1679873889 Advance Plus Therapy Services, LLC Speech-Language Pathologist 2429 Bissonnet Street, Suite E766, Houston, TX 77005 2010-10-22
1346492410 Deniece Christ-rice Social Worker 5311 Kirby Dr Ste 204, Houston, TX 77005 2008-10-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396345443 Avery Rhodes Schwartz Physician Assistant 2206 Latexo Dr, Houston, TX 77018-1717 2020-10-28
1881291938 Christine Nicole Nott Physician Assistant 13325 Hargrave Rd # 240, Houston, TX 77070-4539 2020-10-01
1306453659 Christine Michelle Serewis - Pond Physician Assistant 950 Threadneedle St # 282, Houston, TX 77079-2925 2020-09-29
1902412828 Chen-ho Yang Physician Assistant 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 2020-09-16
1437769833 Aviva Tziporah Rogozen Physician Assistant 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 2020-07-31
1417575671 Harmeet Kaur Physician Assistant 9601 Jones Rd Ste 238, Houston, TX 77065-4774 2020-07-13
1780201939 Evelyn Oliva Physician Assistant 4943 Brenner St, Houston, TX 77022-2536 2020-07-02
1093330722 Stephanie Kochuparambil Physician Assistant 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 2020-06-09
1376171587 Samad Syed Ali Physician Assistant 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 2020-04-01
1235765660 Samantha Salcedo Physician Assistant 6651 Main St Ste 1420, Houston, TX 77030-2351 2020-03-17
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Competitor

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City HOUSTON
Zip Code 77005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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