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NPI Code Detail

MEDICARE: BHAKTI SOODA

MEDICARE:   BHAKTI  SOODA
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
1225100000XPhysical Therapist1226011TX

General Provider Information

NPI Number : 1962681213
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHAKTI SOODA
Provider Business Mailing Address
First Line : 6330 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-3481
Country : US
Telephone Number : 361-853-6500
Fax Number :
Provider Business Practice Location Address
First Line : 6330 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-3481
Country : US
Telephone Number : 361-853-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2007
Last Update Date : 01/30/2024

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Directions to “ BHAKTI SOODA ” Practice Location

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