Provider Demographics
NPI:1114147170
Name:BAHADUR SARKARI MD F A A C A P PSC
Entity Type:Organization
Organization Name:BAHADUR SARKARI MD F A A C A P PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BAHADAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAACAP, PSC
Authorized Official - Phone:281-286-0110
Mailing Address - Street 1:17625 EL CAMINO REAL
Mailing Address - Street 2:STE160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3052
Mailing Address - Country:US
Mailing Address - Phone:281-286-0110
Mailing Address - Fax:281-286-0041
Practice Address - Street 1:17625 EL CAMINO REAL
Practice Address - Street 2:STE160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3052
Practice Address - Country:US
Practice Address - Phone:281-286-0110
Practice Address - Fax:281-286-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH16562084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID