Imani, Peace Dorothy
Imani, Peace Dorothy is an sole proprietor health care provider with primary practice located at 1102 Bates Ave., Baylor College Of Medicine, Houston, Tx TX 77030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Imani, Peace Dorothy can be contacted via phone (832) 824-3800.Contact Information
Primary practice address
1102 Bates Ave., Baylor College Of Medicine
Houston, Tx TX 77030
Phone: (832) 824-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 580808 | Texas |
Profile Details
| NPI number | 1265859755 |
|---|---|
| LBN Legal business name | Imani, Peace Dorothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2014 |
| Last updated | May 30th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265859755 | NPPES |
| Texas | MEDICAID | 1265859755 |
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