Individual
DR. SANDHYA BEJJANKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
191 WALLS DR, CLEBURNE, TX 76033-4033
(817) 648-0120
(817) 648-0121
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200442
LA
207RH0003X
Hematology & Oncology Physician
Primary
200442
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203533901
—
TX
05
—
203533902
—
TX
01
—
P00748696
RAILROAD MEDICARE
TX
Enumeration date
05/29/2007
Last updated
03/11/2010
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