Individual provider · NPI-1

Dr. Sanjay Gautam Adhia, MD

Psychiatry & Neurology, Forensic Psychiatry · Houston, TX

NPI number1467658930
StatusActive
Last updated in NPPESOct 12, 2019

Details

NPI
1467658930
Entity type
Individual (NPI-1)
Name
Dr. Sanjay Gautam Adhia
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2007
Last updated
Oct 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084F0202X Psychiatry & Neurology, Forensic PsychiatryQ0720TXYes
2084P0301X Psychiatry & Neurology, Brain Injury MedicineQ0270TX
2084P0800X Psychiatry & Neurology, PsychiatryQ0720TX

Practice location

1333 Moursund St
Houston, TX 77030

Phone 800-447-3422

Mailing address

5826 New Territory Blvd Ste 803
Sugar Land, TX 77479-5948

Phone 832-746-5905

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