MEDICARE: GOKUL K BYSANI MD

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	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	01058659	IN
2	2080P0203X	Pediatric Critical Care Medicine Physician	01058659	IN
3	2080P0203X	Pediatric Critical Care Medicine Physician	N7782	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023127131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GOKUL K BYSANI MD

Provider Business Mailing Address
First Line	:	7777 FOREST LN STE D569
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6903
Country	:	US
Telephone Number	:	972-566-8340
Fax Number	:	972-566-8338

Provider Business Practice Location Address
First Line	:	7777 FOREST LN STE D569
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6903
Country	:	US
Telephone Number	:	972-566-8340
Fax Number	:	972-566-8338

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/03/2023

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Directions to “ GOKUL K BYSANI MD” Practice Location

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