Provider Demographics
NPI:1902018922
Name:BHANGOO, PARMBIR SHALINI (MD)
Entity Type:Individual
Prefix:DR
First Name:PARMBIR SHALINI
Middle Name:
Last Name:BHANGOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PARMBIR SHALINI
Other - Middle Name:
Other - Last Name:BHANGOO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:220 PATRICIA LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7176
Mailing Address - Country:US
Mailing Address - Phone:214-684-9462
Mailing Address - Fax:
Practice Address - Street 1:3537 S I-35 E
Practice Address - Street 2:STE. 207
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6800
Practice Address - Country:US
Practice Address - Phone:940-565-1222
Practice Address - Fax:940-565-1220
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5634208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194451401Medicaid
TX8BE030OtherBLUE CROSS BLUE SHIELD
TX8BE030OtherBLUE CROSS BLUE SHIELD