Provider Demographics
NPI:1427005719
Name:BATHIJA, NEERA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEERA
Middle Name:
Last Name:BATHIJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NEERA
Other - Middle Name:
Other - Last Name:BATHIJA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8191 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1709
Mailing Address - Country:US
Mailing Address - Phone:713-773-2284
Mailing Address - Fax:713-773-2294
Practice Address - Street 1:8191 SOUTHWEST FWY
Practice Address - Street 2:SUITE 106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1709
Practice Address - Country:US
Practice Address - Phone:713-773-2284
Practice Address - Fax:713-773-2294
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1311174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F9105Medicare PIN