Provider Demographics
NPI:1649481193
Name:BHATTARAI, YUBARAJA (MD)
Entity type:Individual
Prefix:
First Name:YUBARAJA
Middle Name:
Last Name:BHATTARAI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 COLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:MARLIN
Mailing Address - State:TX
Mailing Address - Zip Code:76661-2358
Mailing Address - Country:US
Mailing Address - Phone:254-803-3561
Mailing Address - Fax:254-803-6908
Practice Address - Street 1:322 COLEMAN ST
Practice Address - Street 2:
Practice Address - City:MARLIN
Practice Address - State:TX
Practice Address - Zip Code:76661-2358
Practice Address - Country:US
Practice Address - Phone:254-803-3561
Practice Address - Fax:254-803-6908
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA204088207Q00000X
TXQ2973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1000213Medicaid