Individual
HEMAVATHY BHAKTHAVATSALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 848-2708
(817) 848-4579
Mailing address
10415 MATEO TRL, IRVING, TX 75063-9397
(718) 930-9893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N5572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217120904
—
TX
Enumeration date
05/23/2008
Last updated
02/17/2012
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