Provider Demographics
NPI:1134490121
Name:BHAGYA REKHA ARISE MD PA
Entity Type:Organization
Organization Name:BHAGYA REKHA ARISE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHAGYA
Authorized Official - Middle Name:REKHA
Authorized Official - Last Name:ARISE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-762-5526
Mailing Address - Street 1:6033 GENTLE WAY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-6124
Mailing Address - Country:US
Mailing Address - Phone:214-762-5526
Mailing Address - Fax:469-814-0785
Practice Address - Street 1:6033 GENTLE WAY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-6124
Practice Address - Country:US
Practice Address - Phone:214-762-5526
Practice Address - Fax:469-814-0785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7014207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty