Healthcare Provider Details

I. General information

NPI: 1649264110
Provider Name (Legal Business Name): BAHADUR SARKARI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date: 03/25/2006
Reactivation Date: 04/11/2006

III. Provider practice location address

3007 NORTH RICHMOND RD
WHARTON TX
77488
US

IV. Provider business mailing address

4910 AIRPORT AVE BLDG D
ROSENBERG TX
77471
US

V. Phone/Fax

Practice location:
  • Phone: 979-532-6100
  • Fax: 936-327-4038
Mailing address:
  • Phone: 281-239-1445
  • Fax: 281-239-0828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberH1656
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: