MEDICARE: DR. ARUSHA A BAVARE M.D.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	L7979	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	TXB125922	OTHER	TX	MEDICARE
6	P00082071	OTHER	TX	MEDICARE RR
10	8B3752	OTHER	TX	MEDICARE

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	8CW373	OTHER	TX	BCBS
3	P00959950	OTHER	TX	MCR RR
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	7215322	OTHER	TX	CIGNA
8	9961061	OTHER	TX	AETNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	2498615	OTHER	TX	UNITED HC
12	8P6216	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1730127770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARUSHA A BAVARE M.D.

Provider Business Mailing Address
First Line	:	16605 SOUTHWEST FWY
Second Line	:	STE 175
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-0003
Country	:	US
Telephone Number	:	281-565-1112
Fax Number	:	281-565-1102

Provider Business Practice Location Address
First Line	:	16605 SOUTHWEST FWY
Second Line	:	SUITE 175
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-0003
Country	:	US
Telephone Number	:	281-565-1112
Fax Number	:	281-565-1102

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	02/12/2020

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