Individual
BHASKARA REDDY MADHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1957 ANTILLEY RD, ABILENE, TX 79606-5208
(325) 692-0188
(325) 698-4250
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 231-0813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
270717
NY
207RH0003X
Hematology & Oncology Physician
Primary
T5381
TX
208M00000X
Hospitalist Physician
003813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03362003
—
NY
Enumeration date
10/06/2008
Last updated
08/10/2022
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