| Rishi Hingorani, D.o. P.a. | |
|
1125 Cypress Station Dr Suite B 4 Houston TX 77090-3054 | |
| (281) 440-1400 | |
| (281) 440-9915 |
| Full Name | Rishi Hingorani, D.o. P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1125 Cypress Station Dr, Houston, Texas |
| Authorized Official Name and Position | Rishi S Hingorani (OWNER) |
| Authorized Official Contact | 2814401400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rishi Hingorani, D.o. P.a. 1125 Cypress Station Dr Suite B 4 Houston TX 77090-3054 Ph: (281) 440-1400 | Rishi Hingorani, D.o. P.a. 1125 Cypress Station Dr Suite B 4 Houston TX 77090-3054 Ph: (281) 440-1400 |
| NPI Number | 1154410181 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 02/02/2009 |
| Medicare PECOS PAC ID | 7012013048 |
|---|---|
| Medicare Enrollment ID | O20070508000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154410181 | NPI | - | NPPES |
| 0068PC | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 186830901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L7754 (Texas) | Primary |
| Provider Name | Rishi Shyam Hingorani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063511608 PECOS PAC ID: 6800865684 Enrollment ID: I20040928001249 |
| Provider Name | Shamekkia Lashawn Basey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710496229 PECOS PAC ID: 8820351810 Enrollment ID: I20180404000201 |
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