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NPI Code Detail

MEDICARE: DR. SONAM BHAKTA M.D.

MEDICARE: DR. SONAM BHAKTA 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
12084P0800XPsychiatry PhysicianS6575TX
2261QM0850XAdult Mental Health Clinic/CenterBP10056555TX
32084P0804XChild & Adolescent Psychiatry PhysicianS6575TX

General Provider Information

NPI Number : 1558716035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONAM BHAKTA M.D.
Provider Business Mailing Address
First Line : 6301 S PADRE ISLAND DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78412-4013
Country : US
Telephone Number : 361-993-2830
Fax Number :
Provider Business Practice Location Address
First Line : 2901 WILCREST DR STE 520
Second Line :
City : HOUSTON
State : TX
Zip : 77042-6073
Country : US
Telephone Number : 713-400-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2016
Last Update Date : 07/26/2021

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Directions to “ DR. SONAM BHAKTA M.D.” Practice Location

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