MEDICARE: PARKASH BACHANI MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	W2941	TX

General Provider Information

NPI Number	:	1811672488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARKASH BACHANI MD

Provider Business Mailing Address
First Line	:	3282 COLLEGE STREET
Second Line	:	BAPTIST HOSPITALS OF SOUTHEAST TEXAS
City	:	BEAUMONT
State	:	TX
Zip	:	77701
Country	:	US
Telephone Number	:	409-212-7463
Fax Number	:	409-212-7965

Provider Business Practice Location Address
First Line	:	3282 COLLEGE STREET
Second Line	:	BAPTIST HOSPITALS OF SOUTHEAST TEXAS
City	:	BEAUMONT
State	:	TX
Zip	:	77701
Country	:	US
Telephone Number	:	409-212-7463
Fax Number	:	409-212-7965

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

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	03/16/2026

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