MEDICARE: BHARAT VADHER MD PA

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	207L00000X	Anesthesiology Physician	J8154	TX

General Provider Information

NPI Number	:	1568663268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHARAT VADHER MD PA

Provider Business Mailing Address
First Line	:	PO BOX 702546
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75370-2546
Country	:	US
Telephone Number	:	972-733-1488
Fax Number	:	972-733-1488

Provider Business Practice Location Address
First Line	:	4532 BANYAN LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-7240
Country	:	US
Telephone Number	:	972-733-1488
Fax Number	:	972-733-1488

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BHARAT N VADHER
Credential	:	MD
Telephone Number	:	972-733-1488

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	08/22/2020

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