Individual
DR. BHASKARA M PONNURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1002 GEMINI ST STE 128, HOUSTON, TX 77058-2746
(281) 218-9515
Mailing address
1002 GEMINI ST STE 128, HOUSTON, TX 77058-2746
(281) 218-9515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F8619
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044747602
—
TX
Enumeration date
09/25/2006
Last updated
11/16/2016
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