MEDICARE: GIAN S BEDI MD PA

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	261QM1300X	Multi-Specialty Clinic/Center	M5532	TX
2	261QU0200X	Urgent Care Clinic/Center	M5532	TX
3	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1124064779	OTHER	TX	NPI
2	0044ZT	OTHER	TX	BCBSTX
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326464967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIAN S BEDI MD PA

Provider Business Mailing Address
First Line	:	PO BOX 1666
Second Line	:
City	:	LA MARQUE
State	:	TX
Zip	:	77568-1666
Country	:	US
Telephone Number	:	832-649-2073
Fax Number	:	832-649-2148

Provider Business Practice Location Address
First Line	:	3332 PLAINVIEW ST
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1906
Country	:	US
Telephone Number	:	832-649-2073
Fax Number	:	832-649-2148

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ASHU SODHI SYAL
Credential	:	MD
Telephone Number	:	832-649-2073

Provider Enumeration Date	:	03/06/2014
Last Update Date	:	06/08/2015

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Directions to “GIAN S BEDI MD PA ” Practice Location

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