Provider Demographics
NPI:1649264110
Name:SARKARI, BAHADUR (MD)
Entity type:Individual
Prefix:DR
First Name:BAHADUR
Middle Name:
Last Name:SARKARI
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 1:4910 AIRPORT AVE BLDG D
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471
Mailing Address - Country:US
Mailing Address - Phone:281-239-1445
Mailing Address - Fax:281-239-0828
Practice Address - Street 1:3007 NORTH RICHMOND RD
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488
Practice Address - Country:US
Practice Address - Phone:979-532-6100
Practice Address - Fax:936-327-4038
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2015-11-12
Deactivation Date:2006-03-25
Deactivation Code:
Reactivation Date:2006-04-11
Provider Licenses
StateLicense IDTaxonomies
TXH16562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX037186604Medicaid
TX037186609Medicaid
TX8A2009Medicare ID - Type Unspecified
TX376154YK5NMedicare PIN
TXC21568Medicare UPIN