Individual
BHARAT KHANDHERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9100
(806) 354-5717
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9100
(806) 354-5717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J3515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165490A
—
OK
05
—
120528801
—
TX
05
—
120528806
—
TX
05
—
H2786
—
NM
Enumeration date
07/05/2006
Last updated
03/27/2017
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