Individual
KSHAMA BHYRAVABHOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6861
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME174857
FL
Other
Enumeration date
03/25/2018
Last updated
07/18/2025
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