MEDICARE: DR. JAIDEEP U. BARGE 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	2085R0204X	Vascular & Interventional Radiology Physician	N8165	TX
2	2085R0202X	Diagnostic Radiology Physician	N8165	TX

General Provider Information

NPI Number	:	1013197805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAIDEEP U. BARGE MD

Provider Business Mailing Address
First Line	:	7600 W TIDWELL RD STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-5719
Country	:	US
Telephone Number	:	713-461-3573
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 W TIDWELL RD STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-5719
Country	:	US
Telephone Number	:	713-461-3573
Fax Number	:

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

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	12/18/2025

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