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Contact Information

THARAKESWARA K BATHALA, MD
1515 HOLCOMBE BLVD
HOUSTON, TX77030-4009
 Phone: 713-792-6161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for THARAKESWARA K BATHALA · (Male)

NPI Number 1255622080
Status Active
Credentials MD
Entity Individual
Enumeration date 04/27/2011
Last updated 08/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 241391
  • TX License # P2589
  • TX Medicaid 295580901
  • TX Other 8DD159 BCBS
Hospital affiliation(s)
  • UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER,THE - (Acute Care)
    1515 HOLCOMBE BLVD
    HOUSTON, TX 77030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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