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NPI Code Detail

MEDICARE: PAULDEEP BAHRA M.D.

MEDICARE: PAULDEEP BAHRA M.D.
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
12085R0202XDiagnostic Radiology PhysicianP6581TX
22085R0204XVascular & Interventional Radiology PhysicianP6581TX

General Provider Information

NPI Number : 1093911166
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULDEEP BAHRA M.D.
Provider Business Mailing Address
First Line : 816 W CANNON ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3146
Country : US
Telephone Number : 817-321-0404
Fax Number :
Provider Business Practice Location Address
First Line : 1902 WINDSOR PL STE 102
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1866
Country : US
Telephone Number : 281-710-0310
Fax Number : 281-710-0315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 02/27/2024

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Directions to “ PAULDEEP BAHRA M.D.” Practice Location

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