Individual
DR. BHANUMATHI NANDAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 N SAN SABA ST, SUITE 207, SAN ANTONIO, TX 78207
(210) 227-3701
(210) 227-8628
Mailing address
PO BOX 160252, SAN ANTONIO, TX 78280-2452
(210) 227-3701
(210) 227-8628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
08890
MS
208000000X
Pediatrics Physician
120970
NY
208000000X
Pediatrics Physician
35036054N
OH
208000000X
Pediatrics Physician
Primary
G1733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121464501
—
TX
Enumeration date
09/12/2006
Last updated
01/25/2010
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