Provider Demographics
NPI:1427317577
Name:KARAN S BHALLA MD PLLC
Entity type:Organization
Organization Name:KARAN S BHALLA MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BHALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-943-2800
Mailing Address - Street 1:5413 CRENSHAW RD
Mailing Address - Street 2:STE 400
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3949
Mailing Address - Country:US
Mailing Address - Phone:713-943-2800
Mailing Address - Fax:713-943-2801
Practice Address - Street 1:5413 CRENSHAW RD
Practice Address - Street 2:STE 400
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3949
Practice Address - Country:US
Practice Address - Phone:713-943-2800
Practice Address - Fax:713-943-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty