Sanjay Navin Mediwala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L7041 Issued in TX

Practice address

2002 Holcombe Blvd
Room 3B-174
Houston, TX 77030-4211

Phone

(713) 791-7171

NPI assigned

Aug 28, 2007

Sex

Male

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

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1689868135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 BELMONT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770053807",
            "telephone_number": "713-791-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "address_2": "ROOM 3B-174",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "713-791-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIWALA",
        "first_name": "SANJAY",
        "middle_name": "NAVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medisouth Inc.
• Medisphere Solutions LLC
• Medistar Provider Services, Inc.
• Meditonics Corporation
• Medivo Health Care LLC
• Medix Equipment LLC
• Medix Technologies, Inc.
• Medixhub
• Medkare
• Hansa Ben Medley, M.D.

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.