Individual
BHARAT K PUCHAKAYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W 27TH ST STE 100, HOUSTON, TX 77008-1435
(713) 500-7375
Mailing address
6431 FANNIN ST STE 4.156, HOUSTON, TX 77030-1501
(713) 500-7375
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
S3047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
846432
MEDICARE PTAN
TX
Enumeration date
07/08/2008
Last updated
08/30/2023
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