Individual
DR. PRABHAKAR VENKATA RATNA BHAMIDIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0185
Mailing address
4448 RED BARN, RICHARDSON, TX 75082-2680
(972) 690-1626
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
44714-020
WI
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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