MEDICARE: DINESH BAHL 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	207W00000X	Ophthalmology Physician	M3877	TX
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD2008-0449	NM
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	M3877	TX

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

General Provider Information

NPI Number	:	1295837466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINESH BAHL MD

Provider Business Mailing Address
First Line	:	1700 CURIE
Second Line	:	3800
City	:	EL PASO
State	:	TX
Zip	:	79902-2985
Country	:	US
Telephone Number	:	915-532-3912
Fax Number	:	915-542-3436

Provider Business Practice Location Address
First Line	:	1700 CURIE
Second Line	:	3800
City	:	EL PASO
State	:	TX
Zip	:	79902-2985
Country	:	US
Telephone Number	:	915-532-3912
Fax Number	:	915-542-3436

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	06/17/2020

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Directions to “ DINESH BAHL MD” Practice Location

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