Individual
DINESH G BHAMBHVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 PENNSYLVANIA AVE, 610, FORT WORTH, TX 76104-2158
(817) 962-2340
(817) 840-5870
Mailing address
1325 PENNSYLVANIA AVE, 610, FORT WORTH, TX 76104-2158
(817) 962-2340
(817) 840-5870
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
26089
AL
2084N0400X
Neurology Physician
Primary
N4948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009962225
—
AL
01
—
051523304
BC
AL
01
—
167351200
US DEPT OF LABOR WC
—
01
—
P00148699
RR MEDICARE
—
Enumeration date
02/03/2006
Last updated
04/03/2025
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