Individual
BHANU PRAKASH NAGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N INTERSTATE 35, DENTON, TX 76201-5119
(940) 898-7144
(940) 898-7104
Mailing address
3000 N INTERSTATE 35, DENTON, TX 76201-5119
(940) 898-7144
(940) 898-7104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q1687
TX
208M00000X
Hospitalist Physician
257074
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343072001
—
TX
Enumeration date
06/20/2007
Last updated
02/14/2017
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