MEDICARE: KRIS BHAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	E8330	TX

General Provider Information

NPI Number	:	1013188200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRIS BHAT

Provider Business Mailing Address
First Line	:	19411 MCKAY BLVD
Second Line	:	SUITE 100
City	:	HUMBLE
State	:	TX
Zip	:	77338-5713
Country	:	US
Telephone Number	:	281-548-7313
Fax Number	:	281-446-6818

Provider Business Practice Location Address
First Line	:	19411 MCKAY BLVD
Second Line	:	SUITE 100
City	:	HUMBLE
State	:	TX
Zip	:	77338-5713
Country	:	US
Telephone Number	:	281-548-7313
Fax Number	:	281-446-6818

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KRIS BHAT
Credential	:	M.D.
Telephone Number	:	281-548-7313

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	03/17/2008

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