Bavare, Charudatta Shrikant
Bavare, Charudatta Shrikant is an individual health care provider with primary practice located at 6550 Fannin St Sm1401, Houston TX 77030-2717. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bavare, Charudatta Shrikant can be contacted via phone (713) 441-5200.Contact Information
Primary practice address
6550 Fannin St Sm1401
Houston TX 77030-2717
Phone: (713) 441-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N5562 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | N5562 | Texas |
Profile Details
| NPI number | 1841443298 |
|---|---|
| LBN Legal business name | Bavare, Charudatta Shrikant |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2008 |
| Last updated | Oct 18th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841443298 | NPPES |
| Texas | MEDICAID | 322780303 | |
| Texas | MEDICAID | 322780302 | |
| Texas | Other | 8785NT | |
| Texas | Other | 8GD776 |
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