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NPI Code Detail

MEDICARE: MR. PRATHAM NAIDU BHAVIKATI

MEDICARE: MR. PRATHAM NAIDU BHAVIKATI
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
13747P1801XPersonal Care AttendantTX

General Provider Information

NPI Number : 1558292680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PRATHAM NAIDU BHAVIKATI
Provider Business Mailing Address
First Line : 120 ROSEBRIAR CT
Second Line :
City : COPPELL
State : TX
Zip : 75019-3400
Country : US
Telephone Number : 214-897-0218
Fax Number :
Provider Business Practice Location Address
First Line : 1100 ALLIED DR
Second Line :
City : PLANO
State : TX
Zip : 75093-5348
Country : US
Telephone Number : 469-814-3278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ MR. PRATHAM NAIDU BHAVIKATI ” Practice Location

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