Elite Women'S Wellness LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ELITE WOMEN'S WELLNESS LLC

Practice address

935 York Dr
Desoto, TX 75115-2043

Phone

(972) 296-4777

Fax

(972) 297-5499

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Pankaj Nakarani, MD

Title

Chief Operating Officer

Phone

(909) 479-9260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1285414565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-296-4777",
            "fax_number": "972-297-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152043",
            "telephone_number": "972-296-4777",
            "fax_number": "972-297-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8067 W Virginia Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752373767",
            "country_code": "US",
            "telephone_number": "909-479-9260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE WOMEN'S WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-01-18",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "NAKARANI",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "909-479-9260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036227901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elevate Mental Health Consultants
• Elite Cardiovascular Group PLLC
• Elite Homecare, LLC
• Elite NP Clinic PLLC
• Elite Wellness Clinic PLLC
• Elizabeth D.Ebolum
• Elizabeth Healthcare Services Inc
• Akilah Ellis
• Eloski LLC
• Elynn Services, LLC

• Obstetrics & Gynecology Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.