Provider Demographics
NPI:1740289461
Name:BAKHRU, USHA H (MD)
Entity type:Individual
Prefix:DR
First Name:USHA
Middle Name:H
Last Name:BAKHRU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:713 TROY SCHENECTADY RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2490
Mailing Address - Country:US
Mailing Address - Phone:518-262-4942
Mailing Address - Fax:518-262-5291
Practice Address - Street 1:713 TROY SCHENECTADY RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2490
Practice Address - Country:US
Practice Address - Phone:518-262-4942
Practice Address - Fax:518-262-5291
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142214207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00567973Medicaid
NY00567973Medicaid
NY39068DMedicare ID - Type Unspecified