MEDICARE: NEUMED IVRX LLC

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	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1255164505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUMED IVRX LLC

Provider Business Mailing Address
First Line	:	1105 BOMAR ST STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1223
Country	:	US
Telephone Number	:	832-203-5912
Fax Number	:	832-649-3912

Provider Business Practice Location Address
First Line	:	1105 BOMAR ST STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1223
Country	:	US
Telephone Number	:	832-203-5912
Fax Number	:	832-649-3912

Authorized Official
Title or Position	:	OWNER
Name	:	AKASH G BHAGAT
Credential	:	MD
Telephone Number	:	832-541-7241

Provider Enumeration Date	:	08/22/2024
Last Update Date	:	09/26/2024

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