Individual
DR. UDAYA M BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 297-0657
(254) 297-0655
Mailing address
SCOTT & WHITE HEALTHCARE, P.O.BOX 847408, DALLAS, TX 75284-7408
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P1201
TX
207RP1001X
Pulmonary Disease Physician
Primary
P1201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165891
—
NJ
Enumeration date
05/10/2007
Last updated
04/04/2012
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