Provider Demographics
NPI:1114051463
Name:DHARMESH BHAKTA, DPM, PA
Entity Type:Organization
Organization Name:DHARMESH BHAKTA, DPM, PA
Other - Org Name:ACCENT PODIATRY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-557-1006
Mailing Address - Street 1:3050 S CENTER ST STE 140
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2155
Mailing Address - Country:US
Mailing Address - Phone:817-557-1006
Mailing Address - Fax:817-557-2000
Practice Address - Street 1:3050 S CENTER ST STE 140
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014
Practice Address - Country:US
Practice Address - Phone:817-557-1006
Practice Address - Fax:817-557-2000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0077EHOtherBCBS GRP#
TX153223601Medicaid
TX00388YMedicare ID - Type UnspecifiedGROUP#