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General NPI Number Information
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NPI Number | 1013027598
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Entity Type | Individual
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Provider Name | MANU M BHATTATIRY MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 600 ELIZABETH ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2235
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Country | US
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Telephone | 361-881-3151
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 S UNIVERSITY DR STE 500
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City | FORT WORTH
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State | TX
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Zip | 76107-5732
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Country | US
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Telephone | 817-321-0404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M0663
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License Number State | TX
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