Provider Demographics
NPI:1326464967
Name:GIAN S BEDI MD PA
Entity Type:Organization
Organization Name:GIAN S BEDI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHU
Authorized Official - Middle Name:SODHI
Authorized Official - Last Name:SYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-649-2073
Mailing Address - Street 1:PO BOX 1666
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-1666
Mailing Address - Country:US
Mailing Address - Phone:832-649-2073
Mailing Address - Fax:832-649-2148
Practice Address - Street 1:3332 PLAINVIEW ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1906
Practice Address - Country:US
Practice Address - Phone:832-649-2073
Practice Address - Fax:832-649-2148
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAG CLINICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-06
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208000000X
TXM5532261QM1300X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1124064779OtherNPI
TX0044ZTOtherBCBSTX
TX334619901Medicaid
TX334619902OtherMEDICAID-THSTEPS
TX334619903OtherMEDICAID- CSHCN