MEDICARE: MOHIN BHADKAMKAR 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	2086S0122X	Plastic and Reconstructive Surgery Physician	T0427	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	T0427	OTHER	TX	TEXAS MEDICAL LICENSE

General Provider Information

NPI Number	:	1477949147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHIN BHADKAMKAR MD

Provider Business Mailing Address
First Line	:	6410 FANNIN ST STE 1400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-5389
Country	:	US
Telephone Number	:	832-325-7181
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 FANNIN ST STE 610
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2609
Country	:	US
Telephone Number	:	832-822-3145
Fax Number	:

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

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	02/08/2023

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