1326464967 NPI number — GIAN S BEDI MD PA

Table of content: (NPI 1326464967)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326464967 NPI number — GIAN S BEDI MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GIAN S BEDI MD PA
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:
1326464967
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/08/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1666
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA MARQUE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77568-1666
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-649-2073
Provider Business Mailing Address Fax Number:
832-649-2148

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3332 PLAINVIEW ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77504-1906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-649-2073
Provider Business Practice Location Address Fax Number:
832-649-2148
Provider Enumeration Date:
03/06/2014

Additional Information

Authorized Official

Authorized Official Last Name:
SYAL
Authorized Official First Name:
ASHU
Authorized Official Middle Name:
SODHI
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
832-649-2073

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM1300X , with the licence number: M5532 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QU0200X , with the licence number: M5532 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1124064779 . This is a "NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0044ZT . This is a "BCBSTX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 334619901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 334619902 . This is a "MEDICAID-THSTEPS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 334619903 . This is a "MEDICAID- CSHCN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com