Healthcare Provider Details

I. General information

NPI: 1093786394
Provider Name (Legal Business Name): MEENU SINGH BHATTI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 N A W GRIMES BLVD SUITE N201
ROUND ROCK TX
78665-3540
US

IV. Provider business mailing address

11511 SHADOW CREEK PKWY
PEARLAND TX
77584-7298
US

V. Phone/Fax

Practice location:
  • Phone: 512-868-1124
  • Fax: 512-863-6643
Mailing address:
  • Phone: 713-442-4997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberN2949
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01061331A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: