Basic Information
Provider Information
NPI: 1679988323
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKHAVE
FirstName: NEAL
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4439
Address2:  
City: HOUSTON
State: TX
PostalCode: 772104439
CountryCode: US
TelephoneNumber: 7137922991
FaxNumber:  
Practice Location
Address1: 1515 HOLCOMBE BLVD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304000
CountryCode: US
TelephoneNumber: 7137926161
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2014
LastUpdateDate: 07/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202XBP10066517TXN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
208M00000X2017021704MON Allopathic & Osteopathic PhysiciansHospitalist 
207RH0003XT7475TXY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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