Individual
DR. BHARAT LATTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PINE FOREST DR, STE 110, SHENANDOAH, TX 77384-5302
(281) 709-2555
(281) 440-9915
Mailing address
150 PINE FOREST DR, STE 110, SHENANDOAH, TX 77384-5302
(281) 709-2555
(281) 440-9915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6082
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
K6082
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
K6082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064ET
BLUE CROSS
—
01
—
120662502
EVERCARE
TX
05
—
120662508
—
TX
05
—
187619501
—
TX
05
—
187619502
—
TX
01
—
P000614
MEDICARE RAILROAD
—
Enumeration date
05/16/2006
Last updated
04/08/2025
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