Provider Demographics
NPI:1407902794
Name:BHALLA, KARAN SURINDER (MD)
Entity Type:Individual
Prefix:DR
First Name:KARAN
Middle Name:SURINDER
Last Name:BHALLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5413 CRENSHAW RD
Mailing Address - Street 2:400
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-6407
Mailing Address - Country:US
Mailing Address - Phone:713-943-2800
Mailing Address - Fax:713-943-2801
Practice Address - Street 1:5413 CRENSHAW RD
Practice Address - Street 2:400
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-6407
Practice Address - Country:US
Practice Address - Phone:713-943-2800
Practice Address - Fax:713-943-2801
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3160207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L17660Medicare PIN