Provider Demographics
NPI:1053356238
Name:THEKDI, APURVA (MD)
Entity type:Individual
Prefix:DR
First Name:APURVA
Middle Name:
Last Name:THEKDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2025
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-796-2181
Mailing Address - Fax:713-796-2349
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2025
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-796-2181
Practice Address - Fax:713-796-2349
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM9050207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB158351OtherMEDICARE ID
TX371644101Medicaid