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Organization

KIDDIE DOCS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONIKA ANIL BHATIA M.D. (OWNER)
(972) 359-1400
Entity
Organization

Contact information

Practice address
1505 W MCDERMOTT DR, SUITE 110, ALLEN, TX 75013-4692
(972) 359-1400
(972) 359-8676
Mailing address
1505 W MCDERMOTT DR, SUITE 110, ALLEN, TX 75013-4692
(972) 359-1400
(972) 359-8676

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0011MD
BCBS
TX
Enumeration date
12/04/2007
Last updated
04/20/2008
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