MEDICARE: DR. BHARAT N VADHER 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	207L00000X	Anesthesiology Physician	J8154	TX

General Provider Information

NPI Number	:	1922015064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHARAT N VADHER MD

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/08/2007

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