Individual
BHANU PRAKASH MATURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
6400 FANNIN ST STE 2350, HOUSTON, TX 77030-1554
(713) 704-4300
(713) 704-4355
Mailing address
1007 OLD BRECKENRIDGE LN, MONTGOMERY, AL 36117-8952
(334) 777-9303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34528
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
V0470
TX
Other
Enumeration date
04/13/2012
Last updated
05/12/2024
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