DR. Vishwaroop Bantu, MD

NPI #1912108234 in Burleson, Texas

Provider Information

NPI Number: 1912108234
Entity Type: Individual
Name: DR. Vishwaroop Bantu, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 31, 2007
Last Updated: Mar 9, 2021

Practice Location

Address: 11801 SOUTH FWY
City: Burleson
State: Texas
ZIP Code: 76028-7021
Phone: (817) 568-5955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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