Provider Demographics
NPI:1093786394
Name:BHATTI, MEENU SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:MEENU
Middle Name:SINGH
Last Name:BHATTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-4997
Mailing Address - Fax:
Practice Address - Street 1:3950 N A W GRIMES BLVD
Practice Address - Street 2:SUITE N201
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3540
Practice Address - Country:US
Practice Address - Phone:512-868-1124
Practice Address - Fax:512-863-6643
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2949208000000X
IN01061331A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200536450Medicaid
IN000000570073OtherANTHEM
IN200536450Medicaid
I47489Medicare UPIN