Individual
HETENDRA G MAKANBHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
P O B 840853, DALLAS, TX 75284
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M4317
TX
207R00000X
Internal Medicine Physician
M4317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182212401
—
TX
01
—
8EX346
BCBS TX
TX
01
—
8W7466
BCBS
TX
Enumeration date
07/25/2006
Last updated
02/22/2023
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