Bysani, Nanda
Bysani, Nanda is an individual health care provider with primary practice located at 710 E Pioneer Pkwy , Grand Prairie TX 75051-4958. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bysani, Nanda can be contacted via phone (972) 262-8211.Contact Information
Primary practice address
710 E Pioneer Pkwy
Grand Prairie TX 75051-4958
Phone: (972) 262-8211
Fax: (972) 262-8311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N7783 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N7783 | Texas |
Profile Details
| NPI number | 1801852025 |
|---|---|
| LBN Legal business name | Bysani, Nanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 1st, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801852025 | NPPES |
| Texas | MEDICAID | 220142803 | |
| Texas | MEDICAID | 220142802 | |
| Texas | MEDICAID | 220142801 |
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