Individual
BRAJESH BHATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4402 E SESAME DR, HARLINGEN, TX 78550-9290
(956) 412-1125
(956) 440-8854
Mailing address
PO BOX 2835, HARLINGEN, TX 78551-2835
(956) 412-1125
(956) 440-8854
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J9973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110742704
—
TX
01
—
8P5560
BLUE CROSS BLUE SHEILD
TN
Enumeration date
05/27/2006
Last updated
05/19/2008
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