Harshadala M. Gomberawalla, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

J1671 Issued in TX

Practice address

2925 W T C Jester Blvd
Houston, TX 77018-7061

Phone

(713) 682-3825

Fax

(713) 682-3850

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids 'N Teens Clinics

  • Pediatrics Physician
  • Houston, TX
  • NPI 1659426344
  NPD (past)
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164547790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 HUNTERS TRAIL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246949",
            "telephone_number": "713-480-5272",
            "fax_number": "713-682-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 W T C JESTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770187061",
            "telephone_number": "713-682-3825",
            "fax_number": "713-682-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBERAWALLA",
        "first_name": "HARSHADALA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J1671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacia Hookom Gollihar, PA-C
• Zohreh Golshani, DDS
• Elina Golsteyn, PHARMD
• Gaurav Gomber
• Mufaddal Mustafa Gombera, MD
• Mustafa Hassanali Gomberawalla, M.D., P.A
• Dan S. Gombos, M.D.
• Adrienne Monique Gomes
• Matthew Gomes
• Samantha Gomes, PA-C

• All providers in Houston, TX
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.