RAVINDRA MOHAN BHARADWAJ (NPI# 1477526044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477526044 |
| Entity Type | Individual |
| Full Name | RAVINDRA MOHAN BHARADWAJ |
| Credential | MD |
| Practice Address |
1400 S Coulter St Amarillo TX 79106-1786 |
| Mailing Address |
1400 Wallace Blvd Amarillo TX 79106-1708 |
| Practice Telephone | 8064149100 |
| Practice Fax Number | 8063545717 |
| Mailing Telephone | 8064149100 |
| Mailing Fax Number | 8063545717 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 43992 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 01056005A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
44727 | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
43992 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 303346601 | 05 | |
| OK | 20447390 A | 05 | |
| IN | 200425170A | 05 | |
| DEA | BB8022383 | 01 | |
| IN | STATE LICENSURE | 01056005A | 01 |
| TX | 303346602 | 05 | |
| NM | 75152835 | 05 |
| Street Address |
1400 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980057 | Jack D Waller | Specialist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2005-05-31 |
| 1992311385 | Karlyn Hood | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-09-21 |
| 1083225866 | Roa Ali Eliyan Bashtawi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-08-13 |
| 1063040020 | Mohammed Adib Tanbir | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-27 |
| 1558998898 | Joshua Anthony Sorenson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-26 |
| 1740815943 | Udhaya Aelety | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-08 |
| 1831720341 | Nicole Moreno | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-02-03 |
| 1891347399 | Baptist Saint Anthony Health System | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1134771645 | Daniyah Ali Elagi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1861055782 | Jankikeerthika Muthukaruppan Dharmarpandi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376653113 | Joan E Riker | Internal Medicine | 7910 London Ct, Amarillo, TX 79119-6523 | 2006-08-30 |
| 1780695791 | Daksha Bharat Khandheria | Internal Medicine | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2006-08-11 |
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| 1780198044 | Lucy E Quinn | Internal Medicine | 3910 Desert Springs Ln, Fulshear, TX 77441 | 2017-11-24 |
| 1457861411 | Apex House Calls, LLC | Internal Medicine | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | 2017-10-04 |
| 1669994570 | Mina Health Services, LLC | Internal Medicine | 8811 Teel Pkwy Ste 100, Frisco, TX 75035-4201 | 2017-07-12 |
| 1679023410 | Siddique Medical Associates Pa | Internal Medicine | 1611 Bryce Canyon Ln, Allen, TX 75002-2696 | 2016-10-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.