Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | L0032 | TX |
N | 208600000X | Surgeon | L0032 | TX |
N | 2086S0129X | Vascular Surgeon | L0032 | TX |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | L0032 | TX |
NPI | 1073517702 |
---|---|
Provider Name | Devinder Bhatia |
First Address | Houston, TX 77090 |
Second Address | Houston, TX 77090-2914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 24/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046435602 | (05) | TX |
8P6149 | BCBS# (01) | TX |
E97931 | (02) | TX |