Provider Demographics
NPI:1932427887
Name:AZIZ W BHAI MD PA
Entity Type:Organization
Organization Name:AZIZ W BHAI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AZIZ
Authorized Official - Middle Name:W
Authorized Official - Last Name:BHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-812-7396
Mailing Address - Street 1:1215 IVORY MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5458
Mailing Address - Country:US
Mailing Address - Phone:281-812-7396
Mailing Address - Fax:281-980-1418
Practice Address - Street 1:7600 BEECHNUT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4335
Practice Address - Country:US
Practice Address - Phone:281-812-7396
Practice Address - Fax:281-980-1418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AZIZ W BHAI MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-16
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8008207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX036492907Medicaid
TXH14304Medicare UPIN