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NPI Code Detail

MEDICARE: VISHAL BHAVNAGARI P.T.

MEDICARE: VISHAL BHAVNAGARI P.T.
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
1225100000XPhysical TherapistB152847622012MI
2225100000XPhysical Therapist1266830TX

General Provider Information

NPI Number : 1639442676
Entity Type Code : Individual
Provider Name (Legal Business Name) : VISHAL BHAVNAGARI P.T.
Provider Business Mailing Address
First Line : 1921 ANGEIN LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76131-1060
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7801 N RICHLAND BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6415
Country : US
Telephone Number : 909-379-9190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2012
Last Update Date : 10/15/2020

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