WAHEEDA MITHANI, MD, PLLC (NPI# 1083156426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083156426 |
| Entity Type | Organization |
| Organization Name | WAHEEDA MITHANI, MD, PLLC |
| Practice Address |
3820 Highway 365 Ste 200 Port Arthur TX 77642-7565 |
| Practice Telephone | 4097216364 |
| Practice Fax Number | 4097215012 |
| Mailing Telephone | 4097216364 |
| Mailing Fax Number | 4097215012 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | MS. WAHEEDA MITHANI (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4097216364 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Q3408 | TX | Other Service Providers |
| Street Address |
3820 HIGHWAY 365 STE 200 |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-7565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568534360 | American Medical Service Inc | Specialist | 2875 Jimmy Johnson Blvd Ste 101, Port Arthur, TX 77640-2002 | 2006-11-15 |
| 1629013008 | Anil K Goli | Specialist | 2501 Jimmy Johnson Blvd Ste 406, Port Arthur, TX 77640-2013 | 2006-06-18 |
| 1649257486 | Marian E Cordovez-tan | Specialist | 3220 Central Mall Dr., Port Arthur, TX 77642 | 2005-12-22 |
| 1598749491 | Southeast Texas Hematology and Oncology Center, Pa | Specialist | 5957 9th Ave, Port Arthur, TX 77642-6204 | 2005-12-04 |
| 1235131210 | Gary Roy Mennie | Specialist | 2770 Aero Dr, Suite 1, Port Arthur, TX 77640-1518 | 2005-08-10 |
| 1770583858 | John A. Iceton | Specialist | 2927 Park Plaza Ln, Port Arthur, TX 77642-5516 | 2005-07-29 |
| 1801892849 | J Wesley Ramsey | Specialist | 3400 Highway 365, Ste 301, Port Arthur, TX 77642-7711 | 2005-06-23 |
| 1932102597 | Walter Umphrey Cancer Center of Southeast Texas | Specialist | 4600 9th Ave, Port Arthur, TX 77642-5817 | 2005-05-27 |
| 1821321613 | Mohammad Salem Alhalabi | Specialist | 2001 9th Ave, Ste 201, Port Arthur, TX 77642-2701 | 2009-09-10 |
| 1801004627 | Mohammed A. Islam M.d.p.a. | Specialist | 3921 N Twin City Hwy, Port Arthur, TX 77642-2118 | 2007-05-18 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.