Individual
DR. BHAVANI POKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6611 CLYO RD STE F, CENTERVILLE, OH 45459-2785
(937) 208-5300
(937) 208-5650
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01085501A
IN
208600000X
Surgery Physician
7587
NE
Other
Enumeration date
06/26/2015
Last updated
08/27/2025
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