Provider Demographics
NPI:1922015064
Name:VADHER, BHARAT N (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARAT
Middle Name:N
Last Name:VADHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8154207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0074ACMedicare ID - Type Unspecified
F48920Medicare UPIN