MEDICARE: DR. VATSALA BHASKARAN M. D.

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	2084P0800X	Psychiatry Physician	G2109	TX

General Provider Information

NPI Number	:	1427040401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VATSALA BHASKARAN M. D.

Provider Business Mailing Address
First Line	:	12727 FEATHERWOOD DR
Second Line	:	SUITE 285
City	:	HOUSTON
State	:	TX
Zip	:	77034-4907
Country	:	US
Telephone Number	:	281-922-7333
Fax Number	:	281-922-7369

Provider Business Practice Location Address
First Line	:	12727 FEATHERWOOD DR
Second Line	:	SUITE 285
City	:	HOUSTON
State	:	TX
Zip	:	77034-4907
Country	:	US
Telephone Number	:	281-922-7333
Fax Number	:	281-922-7369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

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