MEDICARE: DR. BHAVANI POKALA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	01085501A	IN
2	208600000X	Surgery Physician	7587	NE

General Provider Information

NPI Number	:	1356723225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHAVANI POKALA M.D.

Provider Business Mailing Address
First Line	:	11109 PARKVIEW PLAZA DR # 117
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6611 CLYO RD STE F
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2785
Country	:	US
Telephone Number	:	937-208-5300
Fax Number	:	937-208-5650

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2015
Last Update Date	:	08/27/2025

Similar Medicare Providers

1710749817 — MEAGAN LOVIN PA-C
Practice Location Address:

6611 CLYO RD STE A
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-7300
Practice Fax:

1760487979 — LATHA VENKATESH M.D.
Practice Location Address:

6611 CLYO RD STE D
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-7350
Practice Fax:

1467684670 — RAYNA HALL LMT, RN, FNP-BC
Practice Location Address:

6611 CLYO RD STE A
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-7300
Practice Fax: 937-208-7330

1306170923 — MISS COCA ANGHELACHE CNP
Practice Location Address:

6611 CLYO RD STE E
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-8282
Practice Fax: 937-208-8275

1912280827 — AMELIA KAIDI WHITLATCH NP-C
Practice Location Address:

6611 CLYO RD , STE E
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-8282
Practice Fax: 937-208-8275

1114288792 — ADAM ANTHONY GOLAS M.D., M.P.H.
Practice Location Address:

6611 CLYO RD STE F
CENTERVILLE, OH
45459-2785

Practice Phone: 937-208-5300
Practice Fax: 937-208-2812

Directions to “ DR. BHAVANI POKALA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.