MEDICARE: BHAGVANTI DAS

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	207V00000X	Obstetrics & Gynecology Physician	D8874	TX

General Provider Information

NPI Number	:	1750774832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAGVANTI DAS

Provider Business Mailing Address
First Line	:	2338 MARONEAL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3218
Country	:	US
Telephone Number	:	713-666-7984
Fax Number	:	713-666-1337

Provider Business Practice Location Address
First Line	:	2338 MARONEAL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3218
Country	:	US
Telephone Number	:	713-666-7984
Fax Number	:	713-666-1337

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

Provider Enumeration Date	:	03/12/2015
Last Update Date	:	03/12/2015

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Directions to “ BHAGVANTI DAS ” Practice Location

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