Provider Demographics
NPI:1972664928
Name:RUPINDER SINGH BHATIA,M.D., P.A.
Entity Type:Organization
Organization Name:RUPINDER SINGH BHATIA,M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUPINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-663-8706
Mailing Address - Street 1:300 STATE ST UNIT 92246
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-1209
Mailing Address - Country:US
Mailing Address - Phone:214-663-8706
Mailing Address - Fax:
Practice Address - Street 1:1011 N COOPER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5517
Practice Address - Country:US
Practice Address - Phone:817-261-3121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL28062084P0800X
251S00000X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157184601Medicaid
TX478060OtherVALUE OPTIONS PROVIDER #
TXDB5314(GROUP#)OtherMEDICARE RAILROAD CARRIER
TXP00111910(PIN)OtherMEDICARE RAILROAD CARRIER
TX0089JUOtherBCBSTX PROVIDER#
TX10010864OtherAMERIGROUP PROVIDER #
TX194248401Medicaid
TXDB5314(GROUP#)OtherMEDICARE RAILROAD CARRIER