Individual
DR. THARAKESWARA KUMAR BATHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
241391
MA
2085R0202X
Diagnostic Radiology Physician
241391
MA
2085R0202X
Diagnostic Radiology Physician
Primary
P2589
TX
2085R0204X
Vascular & Interventional Radiology Physician
241391
MA
2085U0001X
Diagnostic Ultrasound Physician
241391
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295580901
—
TX
01
—
8DD159
BCBS
TX
Enumeration date
04/27/2011
Last updated
08/09/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us