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NPI Code Detail

MEDICARE: DR. PRADNYA BRIJMOHAN BHATTAD

MEDICARE: DR. PRADNYA BRIJMOHAN BHATTAD
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
1207RI0011XInterventional Cardiology PhysicianV6553TX
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1750876686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRADNYA BRIJMOHAN BHATTAD
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : --
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2018
Last Update Date : 12/20/2025

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