Provider Demographics
NPI:1457515777
Name:NEERA BATHIJA, MD, PA
Entity Type:Organization
Organization Name:NEERA BATHIJA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEERA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATHIJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-773-2284
Mailing Address - Street 1:8191 SOUTHWEST FWY STE 106
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1700
Mailing Address - Country:US
Mailing Address - Phone:713-773-2284
Mailing Address - Fax:713-773-2294
Practice Address - Street 1:8191 SOUTHWEST FWY STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1700
Practice Address - Country:US
Practice Address - Phone:713-773-2284
Practice Address - Fax:713-773-2294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1311207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z819Medicare PIN