Basic Information
Provider Information
NPI: 1821236605
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHATTARAI
FirstName: ALOK
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 BAYLOR PLZ STE NC100
Address2:  
City: HOUSTON
State: TX
PostalCode: 770303411
CountryCode: US
TelephoneNumber: 7137982480
FaxNumber:  
Practice Location
Address1: 1504 TAUB LOOP
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301608
CountryCode: US
TelephoneNumber: 7138738890
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/01/2009
LastUpdateDate: 07/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X01066686AINN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XQ6609TXY Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
20095116005IN MEDICAID
P0077789701INRAILROAD MEDICAREOTHER


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