Provider Demographics
NPI:1982864765
Name:BCHARA JANADRI, MD
Entity Type:Organization
Organization Name:BCHARA JANADRI, MD
Other - Org Name:HIGHLANDS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BCHARA
Authorized Official - Middle Name:F
Authorized Official - Last Name:JANADRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-628-9303
Mailing Address - Street 1:2618 MEMORIAL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-1419
Mailing Address - Country:US
Mailing Address - Phone:724-628-9303
Mailing Address - Fax:
Practice Address - Street 1:2618 MEMORIAL BLVD STE C
Practice Address - Street 2:
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-1419
Practice Address - Country:US
Practice Address - Phone:724-628-9303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BCHARA JANADRI, MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-14
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049245L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01423692Medicaid
PA62003OtherHIGHMARK
PAMD049245LOtherMEDICAL LICENSE
PAF61646OtherUPIN