Provider Demographics
NPI:1427040401
Name:BHASKARAN, VATSALA (M D)
Entity type:Individual
Prefix:DR
First Name:VATSALA
Middle Name:
Last Name:BHASKARAN
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12727 FEATHERWOOD DR
Mailing Address - Street 2:SUITE 285
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4907
Mailing Address - Country:US
Mailing Address - Phone:281-922-7333
Mailing Address - Fax:281-922-7369
Practice Address - Street 1:12727 FEATHERWOOD DR
Practice Address - Street 2:SUITE 285
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4907
Practice Address - Country:US
Practice Address - Phone:281-922-7333
Practice Address - Fax:281-922-7369
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG21092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00GW05Medicare ID - Type Unspecified
TXD47933Medicare UPIN