Provider Demographics
NPI:1043538481
Name:CHAUDHARI, BHARTI RUGNATH (DO)
Entity Type:Individual
Prefix:
First Name:BHARTI
Middle Name:RUGNATH
Last Name:CHAUDHARI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BHARTIBEN
Other - Middle Name:RUGNATHBHAI
Other - Last Name:CHAUDHARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1213 TEMPLEMORE DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-2547
Mailing Address - Country:US
Mailing Address - Phone:847-894-4278
Mailing Address - Fax:
Practice Address - Street 1:1575 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4901
Practice Address - Country:US
Practice Address - Phone:614-544-2780
Practice Address - Fax:614-544-1727
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0023207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine