MEDICARE: DR. MEENU SINGH BHATTI 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	208000000X	Pediatrics Physician	N2949	TX
2	208000000X	Pediatrics Physician	01061331A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000570073	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1093786394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEENU SINGH BHATTI MD

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-4997
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 N A W GRIMES BLVD
Second Line	:	SUITE N201
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-3540
Country	:	US
Telephone Number	:	512-868-1124
Fax Number	:	512-863-6643

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	01/24/2022

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