MEDICARE: NEETA R BHARDWAJ 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	208000000X	Pediatrics Physician	H2991	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10575729	OTHER	TX	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932187853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEETA R BHARDWAJ MD

Provider Business Mailing Address
First Line	:	11710 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3514
Country	:	US
Telephone Number	:	281-469-6097
Fax Number	:	281-469-9617

Provider Business Practice Location Address
First Line	:	11710 FM 1960 RD W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3514
Country	:	US
Telephone Number	:	281-469-6097
Fax Number	:	281-469-9617

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	03/10/2011

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