Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N0645 | TX |
N | 111NI0900X | Internist | N0645 | TX |
Y | 207U00000X | Nuclear Medicine Specialist | N0645 | TX |
N | 208D00000X | General Practice Physician | N0645 | TX |
NPI | 1659358638 |
---|---|
Provider Name | Dr. Peeyush Bhargava |
First Address | Houston, TX 77021-2253 |
Second Address | Houston, TX 77021-2253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 20/12/2012 |