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NPI Code Detail

MEDICARE: BHALANI LLC

MEDICARE: BHALANI LLC
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
1208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R3276OTHERTXMEDICAL LICENSE

General Provider Information

NPI Number : 1033843685
Entity Type Code : Organization
Provider Name (Legal Business Name) : BHALANI LLC
Provider Business Mailing Address
First Line : 1107 S MACARTHUR BLVD
Second Line :
City : IRVING
State : TX
Zip : 75060-3827
Country : US
Telephone Number : 972-251-6300
Fax Number :
Provider Business Practice Location Address
First Line : 1107 S MACARTHUR BLVD
Second Line :
City : IRVING
State : TX
Zip : 75060-3827
Country : US
Telephone Number : 972-251-6300
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KSHITIJ BHALANI
Credential : MD
Telephone Number : 813-422-9552
Provider Enumeration Date : 07/11/2022
Last Update Date : 07/11/2022

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Directions to “BHALANI LLC ” Practice Location

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