Individual
DR. BHAVANI CHOUDARY SURYADEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
(903) 535-6884
Mailing address
PO BOX 130549, TYLER, TX 75713-0549
(903) 579-3931
(903) 509-5835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52980
CO
207R00000X
Internal Medicine Physician
Primary
S8392
TX
208M00000X
Hospitalist Physician
52980
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57137285
—
CO
Enumeration date
09/28/2009
Last updated
02/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us