MEDICARE: DR. VAISHALI KAWADUJI BHUSARI 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	208M00000X	Hospitalist Physician	P0348	TX

General Provider Information

NPI Number	:	1578724811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VAISHALI KAWADUJI BHUSARI M.D.

Provider Business Mailing Address
First Line	:	4555 LORRAINE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-3612
Country	:	US
Telephone Number	:	214-755-5587
Fax Number	:

Provider Business Practice Location Address
First Line	:	3429 HAYNIE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-1842
Country	:	US
Telephone Number	:	214-755-5587
Fax Number	:

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

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	07/18/2025

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