Provider Demographics
NPI:1306332291
Name:BACHOO, NIKHIL ANAND (MBBS)
Entity type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:ANAND
Last Name:BACHOO
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 STANTON L YOUNG BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5018
Mailing Address - Country:US
Mailing Address - Phone:405-271-5882
Mailing Address - Fax:405-271-1476
Practice Address - Street 1:700 NE 10TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5404
Practice Address - Country:US
Practice Address - Phone:405-271-5882
Practice Address - Fax:405-271-1476
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OK38354207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program