Individual
SUDHIR BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2834
(432) 640-2897
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2834
(432) 640-2897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P0698
TX
208M00000X
Hospitalist Physician
Primary
P0698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289337202
—
TX
Enumeration date
07/18/2008
Last updated
03/17/2016
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