Individual
DR. SUVERTA BHAYANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q9786
TX
207RN0300X
Nephrology Physician
Primary
Q9786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175WN
BCBSNC
NC
05
—
361748201
—
TX
05
—
5922445
—
NC
Enumeration date
06/14/2007
Last updated
04/27/2022
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