Active NPI
Avnie Patel Malani, PA-C
- Physician Assistant
- Houston, TX
National Provider Identifier
1528331436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07589
- Practice address
- 17270 Red Oak Dr
Suite 200
Houston, TX 77090-2618 - Phone
- (281) 440-6960
- Fax
- (281) 440-6205
- NPI assigned
- Feb 23, 2012
- Last updated
- Apr 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07589 | TX | Primary |
Addresses
Primary practice location
17270 Red Oak Dr
Suite 200
Houston, TX 77090-2618
Mailing address
17270 Red Oak Dr
Suite 200
Houston, TX 77090-2618
Phone (281) 440-6960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA07589 | Other | TX | TEXAS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA07589 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1528331436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17270 RED OAK DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902618",
"telephone_number": "281-440-6960",
"fax_number": "281-440-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17270 RED OAK DR",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902618",
"telephone_number": "281-440-6960",
"fax_number": "281-440-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALANI",
"first_name": "AVNIE",
"middle_name": "PATEL",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE",
"identifier": "PA07589",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.