Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | E8330 | TX |
N | 207RS0012X | Sleep Medicine | E8330 | TX |
N | 2080P0201X | Pediatric Allergist | E8330 | TX |
NPI | 1134124696 |
---|---|
Provider Name | Dr. Kris Bhat |
First Address | Humble, TX 77338-5708 |
Second Address | Humble, TX 77338-5708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 11/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
133025001 | (05) | TX |
C13442 | (02) | TX |