Provider Demographics
NPI:1134477953
Name:BADAR KANWAR M.D P.A
Entity Type:Organization
Organization Name:BADAR KANWAR M.D P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-595-6102
Mailing Address - Street 1:1615 HOSPITAL BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-2020
Mailing Address - Country:US
Mailing Address - Phone:940-612-1990
Mailing Address - Fax:940-612-1985
Practice Address - Street 1:1615 HOSPITAL BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-2020
Practice Address - Country:US
Practice Address - Phone:940-612-1990
Practice Address - Fax:940-612-1985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6219174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty