Individual
DR. KIRANKUMAR DINKAR BHOSREKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 743-8115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
66063
AZ
208000000X
Pediatrics Physician
U5278
TX
2080P0203X
Pediatric Critical Care Medicine Physician
60401
MN
2080P0203X
Pediatric Critical Care Medicine Physician
66063
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
U5278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720351935
—
MN
05
—
1720351935
—
WI
Enumeration date
02/18/2012
Last updated
09/09/2024
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