Provider Demographics
NPI:1295837466
Name:BAHL, DINESH (MD)
Entity Type:Individual
Prefix:
First Name:DINESH
Middle Name:
Last Name:BAHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 CURIE
Mailing Address - Street 2:3800
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2985
Mailing Address - Country:US
Mailing Address - Phone:915-532-3912
Mailing Address - Fax:915-542-3436
Practice Address - Street 1:1700 CURIE
Practice Address - Street 2:3800
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2985
Practice Address - Country:US
Practice Address - Phone:915-532-3912
Practice Address - Fax:915-542-3436
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3877207W00000X, 207WX0107X
NMMD2008-0449207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185162804Medicaid
I71393Medicare UPIN
TX8J3286Medicare PIN
TXP00623622Medicare PIN
NMNM300659Medicare PIN