Individual
DR. NEERAV JAY BHATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
651 S MAIN ST STE 105, KELLER, TX 76248-7037
(817) 348-8600
Mailing address
4301 N MACARTHUR BLVD, STE 101, IRVING, TX 75038-6497
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P1049
TX
208VP0000X
Pain Medicine Physician
Primary
P1049
TX
Other
Enumeration date
05/10/2007
Last updated
09/10/2020
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