DR. Sivasanker Bakthavachalam, M.D.

NPI #1730390204 in Prosper, Texas

Provider Information

NPI Number: 1730390204
Entity Type: Individual
Name: DR. Sivasanker Bakthavachalam, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: May 25, 2007
Last Updated: May 9, 2023

Practice Location

Address: 4200 W UNIVERSITY DR
City: Prosper
State: Texas
ZIP Code: 75078-9805
Phone: (682) 303-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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