Individual
BHAVANA KANCHERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/A
Contact information
Practice address
1208 TAMRANAE CT, AUSTIN, TX 78746-6860
(412) 855-9296
Mailing address
1208 TAMRANAE CT, AUSTIN, TX 78746-6860
(412) 855-9296
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
01033
MD
237600000X
Audiologist-Hearing Aid Fitter
Primary
80232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023016862
—
MD
Enumeration date
07/13/2005
Last updated
05/20/2019
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