1508894031 NPI number — BHARMAL INTERNAL MEDICINE ASSOCIATES,P.A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508894031 NPI number — BHARMAL INTERNAL MEDICINE ASSOCIATES,P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BHARMAL INTERNAL MEDICINE ASSOCIATES,P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508894031
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3150 MATLOCK ROAD STE
Provider Second Line Business Mailing Address:
# 403
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76015-2924
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-789-0352
Provider Business Mailing Address Fax Number:
214-221-5600

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3150 MATLOCK ROAD STE
Provider Second Line Business Practice Location Address:
# 403
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76015-2924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-789-0352
Provider Business Practice Location Address Fax Number:
214-221-5600
Provider Enumeration Date:
06/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VORA
Authorized Official First Name:
HUJEFA
Authorized Official Middle Name:
Y
Authorized Official Title or Position:
PHYSICIAN/OWNER
Authorized Official Telephone Number:
214-789-0352

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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