Provider Demographics
NPI:1982709929
Name:BHASKER, CHAND (MD)
Entity Type:Individual
Prefix:
First Name:CHAND
Middle Name:
Last Name:BHASKER
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 1:800 QUAIL CREEK DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1634
Mailing Address - Country:US
Mailing Address - Phone:806-457-8230
Mailing Address - Fax:
Practice Address - Street 1:800 QUAIL CREEK DR
Practice Address - Street 2:STE 102
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1634
Practice Address - Country:US
Practice Address - Phone:806-355-6593
Practice Address - Fax:806-352-8774
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8252174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00205647OtherRAILROAD MEDICARE
TX0092KHOtherBLUE CROSS
TX70030681OtherDPS
TXAB7569683OtherDEA
TXAB7569683OtherDEA
TXB21255Medicare UPIN