Individual
DR. SUPRABHA BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7500 BEECHNUT ST, SUITE 266, HOUSTON, TX 77074-4335
(713) 774-0800
(713) 774-0811
Mailing address
7500 BEECHNUT ST, STE 266, HOUSTON, TX 77074-4311
(713) 774-0800
(713) 774-0811
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
K8714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042944103
—
TX
Enumeration date
07/12/2005
Last updated
07/22/2019
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