Rakesh Bhardwaj, | |
18300 Saint John Dr, Nassau Bay, TX 77058-6302 | |
(281) 333-5503 | |
Not Available |
Full Name | Rakesh Bhardwaj |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 18300 Saint John Dr, Nassau Bay, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578540399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G5863 (Texas) | Primary |
Entity Name | Space City Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235328253 PECOS PAC ID: 8628154416 Enrollment ID: O20080319000229 |
Mailing Address | Practice Location Address |
---|---|
Rakesh Bhardwaj, 714 Fm 1960 Rd W, Suite 206, Houston, TX 77090-3405 Ph: () - | Rakesh Bhardwaj, 18300 Saint John Dr, Nassau Bay, TX 77058-6302 Ph: (281) 333-5503 |
L A Goodman, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 18300 Saint John Dr, Nassau Bay, TX 77058 Phone: 281-333-5503 | |
William P Jones, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18300 Saint John Dr, Nassau Bay, TX 77058 Phone: 281-333-5503 | |
Thaddeus Lis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18300 Saint John Dr, Nassau Bay, TX 77058 Phone: 281-333-5503 | |
Bach Lam, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18300 Saint John Dr, Nassau Bay, TX 77058 Phone: 281-333-5503 |