Provider Demographics
NPI:1568663268
Name:BHARAT VADHER MD PA
Entity Type:Organization
Organization Name:BHARAT VADHER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:N
Authorized Official - Last Name:VADHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-733-1488
Mailing Address - Street 1:PO BOX 702546
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75370-2546
Mailing Address - Country:US
Mailing Address - Phone:972-733-1488
Mailing Address - Fax:972-733-1488
Practice Address - Street 1:4532 BANYAN LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7240
Practice Address - Country:US
Practice Address - Phone:972-733-1488
Practice Address - Fax:972-733-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8154207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF48920Medicare UPIN
TX0074ACMedicare ID - Type Unspecified