Individual
DR. MANZOOR AHAMED BEVINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3315 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1820
(361) 882-3198
(361) 884-1912
Mailing address
PO BOX 60465, CORPUS CHRISTI, TX 78466-0465
(361) 882-3198
(361) 884-1912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P2595
TX
208M00000X
Hospitalist Physician
Primary
2012-01338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5920750
—
NC
01
—
P2595
MEDICAL LICENSE
TX
Enumeration date
06/18/2009
Last updated
07/16/2013
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