MEDICARE: PADMINI BHADRIRAJU 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	208M00000X	Hospitalist Physician	N3498	TX
2	207R00000X	Internal Medicine Physician	N3498	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
2	TXB126422	OTHER	TX	WELLMED
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	TXB126391	OTHER	TX	PMG, PA

General Provider Information

NPI Number	:	1518991447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PADMINI BHADRIRAJU MD

Provider Business Mailing Address
First Line	:	2000 S MCCOLL RD STE B
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1516
Country	:	US
Telephone Number	:	956-631-7100
Fax Number	:	956-631-5901

Provider Business Practice Location Address
First Line	:	5215 S MCCOLL RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-7861
Country	:	US
Telephone Number	:	956-631-7100
Fax Number	:	956-631-5901

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	09/15/2020

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